SUSAN E WICKUM
NPI 1295622058
Licensed Practical Nurse in Webster, NY

Active since June 23, 2025
124 GALANTE CIR, WEBSTER, NY 14580(585) 317-1161 Get Directions Write a Review

NPPES record last updated: June 23, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Susan E Wickum NPPES

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

SUSAN E WICKUM (NPI 1295622058) is an individual licensed practical nurse in Webster, New York, licensed in New York (274250-01) and active in the NPI registry since June 2025.

NPPES Registry Identity

NPI1295622058
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameSUSAN E WICKUM
Location Address124 GALANTE CIRWebster, NY 14580-4708
Mailing Address124 Galante CirWebster, NY 14580-4708 · (585) 317-1161
Sole ProprietorYes
Enumeration DateJune 23, 2025
NPPES CertifiedJune 23, 2025
NPI 1295622058 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License Licensed in NY · 274250-01
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
124 GALANTE CIR, Webster, NY 14580

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 Susan Wickum's NPI number?

The NPI number for Susan Wickum is 1295622058. It was assigned to this individual provider in the NPPES registry on June 23, 2025.

Where is Susan Wickum located?

Susan Wickum practices at 124 Galante Cir, Webster, NY 14580. The listed phone number is (585) 317-1161.

What is Susan Wickum's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Susan Wickum was last updated on June 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.