Individual provider · Type 1 NPI
Sandra L. Hicks, CRNP
Adult Health Nurse Practitioner · Philadelphia, PA
NPI number
1194886978
Active
Practice location
51 N 39th St, 4 Phi
Philadelphia, PA 19104-2640
Fax (215) 243-4612
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | UP003570C (PA) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1194886978
Sandra L. Hicks, CRNP's National Provider Identifier is 1194886978, issued on Dec 13, 2006. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Philadelphia, PA. The record was last updated on Jun 10, 2008.