Andrew Nadir Wickwire, PA-C
Physician Assistant in Fresno, CA. Individual provider (NPI-1).
NPI number1982115275
StatusActive
Last updated in NPPESMar 2, 2026
Details
- NPI
- 1982115275
- Entity type
- Individual (NPI-1)
- Name
- Andrew Nadir Wickwire
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 13, 2017
- Certification date
- Mar 2, 2026
- Last updated
- Mar 2, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 8552 | WI | Yes |
| 363A00000X | Physician Assistant | 55075 | CA | |
| 363AS0400X | Physician Assistant, Surgical | 55075 | CA |
Practice location
255 N Herwaldt DrFresno, CA 93701-2186
Phone 866-342-6012
Mailing address
2625 E Divisadero StFresno, CA 93721-1431
Phone 559-443-2682
Other practice locations
2823 Fresno St
Fresno, CA 93721-1324
Fresno, CA 93721-1324
Phone 559-459-3770
1000 N Oak Ave
Marshfield, WI 54449-5703
Marshfield, WI 54449-5703
Phone 715-387-5511
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