SearchAlaska363A00000X

Bonnie Wickham, PA

NPI 1225058902 · on the registry since 2006

Practice

Address
12039 E Maple Springs Way
Palmer, AK 99645
Phone
(907) 745-9088
Fax
(833) 464-5211
Clinicians at this address
2

Additional practice sites

  • 61250 Se Coombs Pl, Bend, OR
  • 402 W 26th St, San Angelo, TX

Registry record

Primary taxonomy
363A00000X
363A00000X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-08-12

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Alaska