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

Susan E Wickum

Individual provider Licensed Practical Nurse · NPI 1295622058

Susan E Wickum is a Licensed Practical Nurse in Webster, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2025

Practice location Address checks out

124 Galante Cir
Webster, NY 14580-4708
Phone: (585) 317-1161
Show map & directions

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

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 274250-01 (NY)

Record details

NPI number1295622058
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 23, 2025
Last updated in NPPESJune 23, 2025
Certification dateJune 23, 2025
Mailing address124 Galante Cir, Webster, NY 14580-4708

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