National Provider Identifier
Susan E Wickum
Susan E Wickum is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Webster, NY and a listed phone number of (585) 317-1161.
Source: public NPPES record, last updated June 23, 2025. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1295622058
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- June 23, 2025
- Last Updated
- June 23, 2025
Practice Location
- 124 Galante Cir
- Webster, NY 14580-4708
Phone: (585) 317-1161
Specialties
- Licensed Practical Nurse (164W00000X)
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Biography
Susan Wickum is a Webster, New York-based licensed practical nurse whose background includes long-term work with LDA Life and Learning Services, beginning in 2005. LDA later became part of Starbridge, a Rochester-area nonprofit focused on services and advocacy for people with disabilities; her listed education includes LPN training at Isabella Graham Hart and a bachelor’s degree from SUNY Cortland.
Full Record
- NPI
- 1295622058
- Entity Type
- Individual
- Last Name
- Wickum
- First Name
- Susan
- Middle Name
- E
- Mailing Street Address
- 124 Galante Cir
- Mailing City
- Webster
- Mailing State
- NY
- Mailing ZIP Code
- 14580-4708
- Mailing Country
- US
- Mailing Phone
- (585) 317-1161
- Practice Street Address
- 124 Galante Cir
- Practice City
- Webster
- Practice State
- NY
- Practice ZIP Code
- 14580-4708
- Practice Country
- US
- Practice Phone
- (585) 317-1161
- Enumeration Date
- June 23, 2025
- Last Updated
- June 23, 2025
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- June 23, 2025
- Taxonomies
- Licensed Practical Nurse (164W00000X)