Individual provider · Type 1 NPI
Tamara Lynn Hickman, CPNP
Pediatric Nurse Practitioner · Charlevoix, MI
NPI number
1699989665
Active
Practice location
Northwest Michigan Community Health Agency, 220 W. Garfield Street
Charlevoix, MI 49720
Fax (231) 547-6238
Mailing address
8275 W State St
Central Lake, MI 49622-9701
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 4704113645 (MI) |
Pediatric Nurse Practitioner: Definition to come...
Another provider at this address
Other pediatric nurse practitioner providers in Charlevoix
About NPI 1699989665
Tamara Lynn Hickman, CPNP's National Provider Identifier is 1699989665, issued on May 9, 2007. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Charlevoix, MI. The record was last updated on Jun 28, 2016.