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Individual
CARRIE HECOX
Active
Individual
CARRIE HECOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN,MSN,CPNP
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
041311136
IL
163WP0200X
Pediatric Registered Nurse
159164-30
WI
363LP0200X
Pediatric Nurse Practitioner
Primary
7978-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1194245886
—
WI
Enumeration date
06/22/2017
Last updated
09/22/2017
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