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

Mrs. Fusae Mary Wicks, NP

Individual provider Nurse Practitioner · NPI 1093856130

Mrs. Fusae Mary Wicks, NP is a Nurse Practitioner in Las Vegas, Nevada. Qualified in 1997, 29 years ago. Practices with Meilan L Daguman Aprn PLLC, a 3-clinician group and accepts Medicare assignment. Licensed in Nevada.

Years since qualifying
29
Licensed in
NV
In the registry since
2007
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

4560 S Eastern Ave Ste 15
Las Vegas, NV 89119-6182
Phone: (702) 994-7267
Fax: (702) 623-5995
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 813615 (NV)

Record details

NPI number1093856130
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedFebruary 10, 2007
Last updated in NPPESJune 11, 2021
Certification dateJune 11, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice Meilan L Daguman Aprn Pllc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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