NPI 1013415363

Eryn M. Wicklow, PAC

Practitioner Physician Assistant Waipahu, HI

Practice location

Address: 94-1480 Moaniani St, Waipahu, HI 96797-4632
Phone: (808) 432-3100

Registered specialties (2)

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence AMD-1154 (HI)

Other Physician Assistant providers in Hawaii →

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 55117 (CA)

Registry record

NPI: 1013415363
Entity type: Individual
Sex (as registered): Female
NPI issued: 31 Jan 2018
Record last updated: 23 Aug 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.