Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bart Wickersham, RN

Individual provider Registered Nurse · NPI 1700280005

Bart Wickersham, RN is a Registered Nurse in Gallup, New Mexico. Licensed in Kansas. Registered with an NPI since 2014.

Licensed in
KS
In the registry since
2014
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

See every abbreviation used in this directory →

Practice location Address checks out

516 E Nizhoni Blvd
Gallup, NM 87301-5748
Phone: (505) 722-1790
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 13-65413-112 (KS)

Record details

NPI number1700280005
Entity typeIndividual (Type 1)
GenderMale
Credentials RN
Sole proprietorNo
NPI enumeratedOctober 15, 2014
Last updated in NPPESOctober 15, 2014
Mailing address516 East Nizhoni Bvld., Gallup, NM 87301

Other providers in Gallup