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LOUISE M WICKHAM NP
NPI 1851783476
Nurse Practitioner - Adult Health in Colchester, CT

Active since February 19, 2015
12 WOODBINE RD, COLCHESTER, CT 06415(860) 501-0590 Get Directions Write a Review

NPPES record last updated: September 6, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 6, 2021, Jul 30, 2021, Dec 19, 2020 (3 updates tracked since 2020).

About Louise M Wickham Np NPPES

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

LOUISE M WICKHAM NP (NPI 1851783476) is an individual adult health provider in Colchester, Connecticut, licensed in Connecticut (12.009638) and active in the NPI registry since February 2015. She maintains a secondary practice location in Wethersfield.

NPPES Registry Identity

NPI1851783476
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameLOUISE M WICKHAMCredential: NP
Location Address12 WOODBINE RDColchester, CT 06415-1883
Mailing Address12 Woodbine RdColchester, CT 06415-1883 · (860) 501-0590
Phone(860) 501-0590
Sole ProprietorNo
Enumeration DateFebruary 19, 2015
Last NPPES UpdateSeptember 6, 20213 updates tracked since enumeration
NPPES CertifiedSeptember 6, 2021
✔ NPI 1851783476 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in CT · 12.009638
Also ListedRegistered NurseTaxonomy 163W00000X · License 113269 (CT)
12 WOODBINE RD, Colchester, CT 06415
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Secondary Practice Location 1

Location 153 Wolcott Hill RdWethersfield, CT 06109-1103 · Phone (888) 888-8888

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 Louise Wickham's NPI number?

The NPI number for Louise Wickham is 1851783476. It was assigned to this individual provider in the NPPES registry on February 19, 2015.

Where is Louise Wickham located?

Louise Wickham practices at 12 Woodbine Rd, Colchester, CT 06415. The listed phone number is (860) 501-0590.

What is Louise Wickham's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

When was this NPI record last updated?

The NPPES record for Louise Wickham was last updated on September 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.