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WHITNEY LAYNE WICKLUND
NPI 1194333831
Nurse Practitioner - Family in Staten Island, NY

Active since July 20, 2020
519 BROADWAY, STATEN ISLAND, NY 10310(718) 447-5437 Get Directions Write a Review

NPPES record last updated: February 3, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 3, 2023, Dec 6, 2022, Jul 20, 2020 (3 updates tracked since 2020).

About Whitney Layne Wicklund NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WHITNEY LAYNE WICKLUND (NPI 1194333831) is an individual family provider in Staten Island, New York, licensed in New York (F04220230) and active in the NPI registry since July 2020.

NPPES Registry Identity

NPI1194333831
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameWHITNEY LAYNE WICKLUND
Location Address519 BROADWAYStaten Island, NY 10310-2822
Mailing Address375 Sheffield StStaten Island, NY 10310-2027 · (612) 834-0628
Phone(718) 447-5437
Sole ProprietorNo
Enumeration DateJuly 20, 2020
Last NPPES UpdateFebruary 3, 20233 updates tracked since enumeration
NPPES CertifiedFebruary 3, 2023
✔ NPI 1194333831 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · F04220230
Also ListedRegistered NurseTaxonomy 163W00000X · License 697194-01 (NY)
519 BROADWAY, Staten Island, NY 10310
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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. DENISE OIESTAD P.T.
Physical Therapist (Pediatrics)
519 BROADWAY
STATEN ISLAND, NY 10310
Richmond County (718) 442-4878
MRS. MARGARET LOUISE PALAZZOLO MAOTR/L
Occupational Therapist (Pediatrics)
519 BROADWAY
STATEN ISLAND, NY 10310
Richmond County (718) 442-4878
MS. MILAGROS J PENA RN, MS, CPNP
Nurse Practitioner (Pediatrics)
519 BROADWAY
STATEN ISLAND, NY 10310
Richmond County (718) 447-5437

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Whitney Wicklund's NPI number?

The NPI number for Whitney Wicklund is 1194333831. It was assigned to this individual provider in the NPPES registry on July 20, 2020.

Where is Whitney Wicklund located?

Whitney Wicklund practices at 519 Broadway, Staten Island, NY 10310. The listed phone number is (718) 447-5437.

What is Whitney Wicklund's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Whitney Wicklund was last updated on February 3, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.