Individual provider · Type 1 NPI
Angie D. Hicks-Master, ANP
Psychiatric/Mental Health Nurse Practitioner · Manila, AR
NPI number
1255405353
Active
Practice location
920 East Medical Drive
Manila, AR 72442
Fax (870) 570-0359
Mailing address
P.o. Box 717
Manila, AR 72442
Other practice locations
- 310 E Lake St, Manila, AR 72442 · (870) 243-3960
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | A002923 (AR) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | APN0000017515 (TN) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
About NPI 1255405353
Angie D. Hicks-Master, ANP's National Provider Identifier is 1255405353, issued on Nov 20, 2006. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Manila, AR. The record was last updated on May 28, 2022.