# HICKMAN PSYCHIATRY OF ARIZONA, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851754105
- **Authorized official:** LAURA ANN HICKMAN PMHNP-BC (OWNER)
- **Authorized official phone:** (602) 441-2778

## Contact information

- **Practice address:** 10446 N 74TH ST STE 140, SCOTTSDALE, AZ 85258-1045
- **Practice address phone:** (602) 441-2778
- **Practice address fax:** (602) 916-0916
- **Mailing address:** 10446 N 74TH ST STE 140, SCOTTSDALE, AZ 85258-1045
- **Mailing address phone:** (602) 441-2778
- **Mailing address fax:** (602) 916-0916

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | AP5445 | AZ | Yes |

## Other

- **Enumeration date:** 04/04/2016
- **Last updated:** 10/05/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1366866931 | NPI | AZ |
| 05 | — | 894679 | — | AZ |