Individual provider · Type 1 NPI
Carolyn E. Hickman, PNP
Pediatric Nurse Practitioner · Phoenix, AZ
NPI number
1316900558
Active
Practice location
1919 E Thomas Rd
Phoenix, AZ 85016-7710
Fax (602) 933-0068
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | RN077188 (AZ) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1316900558
Carolyn E. Hickman, PNP's National Provider Identifier is 1316900558, issued on Apr 10, 2006. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Phoenix, AZ. The record was last updated on Jan 17, 2013.