Individual provider · Type 1 NPI

Latrisha Diana Hicks

Nurse Practitioner · Norfolk, VA

NPI number 1992674659 Active

Practice location

930 W 21st St Fl 2
Norfolk, VA 23517-1516

Fax (757) 624-1759

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X0024195222 (VA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1992674659

Latrisha Diana Hicks's National Provider Identifier is 1992674659, issued on Oct 31, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Norfolk, VA. The record was last updated on Jun 9, 2026.