Individual provider · Type 1 NPI

Matthew Thomas Hickling, PNP

Pediatric Nurse Practitioner · Latham, NY

NPI number 1811478191 Active

Practice location

6 Wellness Way Ste 101
Latham, NY 12110-2156

Fax (518) 782-0800

Mailing address

6 Wellness Way Ste 201
Latham, NY 12110-2156

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X382896 (NY)

Pediatric Nurse Practitioner: Definition to come...

7 other providers at this address

Other pediatric nurse practitioner providers in Latham

See all in Latham →

About NPI 1811478191

Matthew Thomas Hickling, PNP's National Provider Identifier is 1811478191, issued on Aug 24, 2018. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Latham, NY. The record was last updated on Feb 12, 2024.