Individual provider · Type 1 NPI
Mary Lawrence Hicks, FNP
Family Nurse Practitioner · San Francisco, CA
NPI number
1447463989
Active
Practice location
995 Potrero Ave # 86
San Francisco, CA 94110-2859
Fax (415) 050-2477
Mailing address
995 Potrero Ave # WARD86
San Francisco, CA 94110-2859
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 506253 (CA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1447463989
Mary Lawrence Hicks, FNP's National Provider Identifier is 1447463989, issued on May 8, 2007. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in San Francisco, CA. The record was last updated on Oct 4, 2016.