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NPI Code Detail

MEDICARE: CHRISTINA WICAL PMHNP-BC, WHNP-BC

MEDICARE:   CHRISTINA  WICAL  PMHNP-BC, WHNP-BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse Practitioner0024172410VA

General Provider Information

NPI Number : 1316324726
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINA WICAL PMHNP-BC, WHNP-BC
Provider Business Mailing Address
First Line : 14304 SOUTHWELL TER
Second Line :
City : MIDLOTHIAN
State : VA
Zip : 23113-6337
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8003 FRANKLIN FARMS DR RM 131
Second Line :
City : RICHMOND
State : VA
Zip : 23229-5107
Country : US
Telephone Number : 804-716-0428
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/05/2015
Last Update Date : 12/26/2025

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Directions to “ CHRISTINA WICAL PMHNP-BC, WHNP-BC” Practice Location

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