Individual
MRS. POLLY ANNE HICKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
2669 SCENIC DR, ALAMOGORDO, NM 88310-8700
(575) 446-5300
(575) 446-5304
Mailing address
2669 SCENIC DR, ALAMOGORDO, NM 88310-8700
(575) 446-5300
(575) 446-5304
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
CNP-01858
NM
Other
Enumeration date
11/23/2011
Last updated
01/31/2012
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