Individual provider · Type 1 NPI
Celeste Marie Hicken, NP-C
Family Nurse Practitioner · Midvale, UT
NPI number
1700351830
Active
Practice location
7050 S Union Park Ave Ste 200
Midvale, UT 84047-4171
Mailing address
200 Oceangate # 1
Long Beach, CA 90802-4302
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Registered Nurse | 163WG0000X | 6320538-3102 (UT) |
| Family Nurse Practitioner Primary | 363LF0000X | 6320538-4405 (UT) |
Family Nurse Practitioner: Definition to come...
3 other providers at this address
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About NPI 1700351830
Celeste Marie Hicken, NP-C's National Provider Identifier is 1700351830, issued on Oct 4, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Midvale, UT. The record was last updated on Nov 2, 2018.