Individual
NATALIE CHRISTINE LICKTEIG
Active
Individual
NATALIE CHRISTINE LICKTEIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2011010846
MO
363LF0000X
Family Nurse Practitioner
75268
KS
Other
Enumeration date
04/27/2011
Last updated
08/12/2013
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