Individual provider · Type 1 NPI

Emily Grace Hickey

Pediatric Nurse Practitioner · Portland, ME

NPI number 1922693589 Active

Practice location

284 Cumberland Ave
Portland, ME 04101-4927

Fax (207) 874-2164

Mailing address

180 Park Ave
Portland, ME 04102-2957

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200XCNP211428 (ME)
Pediatric Registered Nurse 163WP0200XRN52962 (ME)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1922693589

Emily Grace Hickey's National Provider Identifier is 1922693589, issued on Mar 5, 2021. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Portland, ME. The record was last updated on Apr 27, 2025.