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

Shana Rose Wicklund

Individual provider Physician Assistant · NPI 1437770625

Shana Rose Wicklund is a Physician Assistant in East Greenwich, Rhode Island. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
2

Practice location Address checks out

1672 S County Trl Ste 302
East Greenwich, RI 02818-5099
Phone: (401) 336-3770
Show map & directions

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

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1437770625
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 29, 2020
Last updated in NPPESNovember 6, 2023
Certification dateNovember 6, 2023

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