Individual provider · Type 1 NPI

Laura Hickenbottom, NP

Neonatal Nurse Practitioner · Urbana, IL

NPI number 1043617665 Active

Practice location

611 W. Park St., Neonatology
Urbana, IL 61801-2500

Fax (217) 383-3463

Other practice locations

  • 415 N 9th St # 4W16, Springfield, IL 62702-5303 · (217) 545-8000

Specialties and licenses

TaxonomyCodeLicense
Neonatal Nurse Practitioner 363LN0000X2014040196 (MO)
Neonatal Nurse Practitioner Primary 363LN0000X209014221 (IL)

Neonatal Nurse Practitioner: Definition to come...

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About NPI 1043617665

Laura Hickenbottom, NP's National Provider Identifier is 1043617665, issued on Nov 25, 2014. The primary taxonomy on file is Neonatal Nurse Practitioner (363LN0000X), and the practice location is in Urbana, IL. The record was last updated on Dec 10, 2021.