Individual provider · Type 1 NPI
Autumn Natasha Hicks
Family Nurse Practitioner · Staten Island, NY
NPI number
1316797749
Active
Practice location
274 Willow Rd W
Staten Island, NY 10314-1673
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | F353587-01 (NY) |
Family Nurse Practitioner: Definition to come...
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About NPI 1316797749
Autumn Natasha Hicks's National Provider Identifier is 1316797749, issued on Mar 26, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Staten Island, NY. The record was last updated on Mar 26, 2024.