Individual
MICHELLE COLEEN HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
205 WABASHA ST S, SAINT PAUL, MN 55107
(651) 293-8100
(651) 293-8106
Mailing address
8170 33RD AVE S # MS 21110Q, MINNEAPOLIS, MN 55425-4516
(651) 293-8100
(952) 853-8727
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R175430-0
MN
Other
Enumeration date
03/12/2014
Last updated
04/17/2019
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