Individual provider · Type 1 NPI

Samra Hickey

Student in an Organized Health Care Education/Training Program · St. Louis Park, MN

NPI number 1972260768 Active

Practice location

5354 Parkdale Dr
St. Louis Park, MN 55416-1603

Mailing address

11251 Xavier Cir
Bloomington, MN 55437-3143

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1972260768

Samra Hickey's National Provider Identifier is 1972260768, issued on Nov 29, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in St. Louis Park, MN. The record was last updated on Nov 29, 2021.