# ALICIA SHARON HETTEL

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1013778893
- **Gender:** F
- **Credential:** APRN

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | NUR-APRN-LIC-188967 | MT | — |
| 363L00000X | Nurse Practitioner | NUR-APRN-LIC-188967 | MT | Yes |
| 363LW0102X | Women's Health Nurse Practitioner | NUR-APRN-LIC-188967 | MT | — |

## Other

- **Enumeration date:** 01/19/2024
- **Last updated:** 01/19/2024