Most Relevant Information
Provider Data
| NPI Number: | 1003494790 |
| Provider Name: | ALICIA K. WICHT NBC-HWC |
| Entity Type: | Individual |
| Taxonomy Code: | 171400000X |
| Specialty: | Health & Wellness Coach |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/01/2021 |
| Last Updated: | 04/01/2021 |
Provider Practice Location
2201 N BROADWELL AVE
GRAND ISLAND
NE
688032153
Practice Location Phone/Fax
| Phone: | 3083953405 |
| Fax: |
Provider Mailing Location
2201 N BROADWELL AVE
GRAND ISLAND
NE
688032153
Provider Mailing Phone/Fax
| Phone: | 3083953405 |
| Fax: |