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Individual

MICHAEL HICKMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
FNP-BC

Contact information

Practice address
255 E 300 N, GUNNISON, UT 84634-7738
(435) 528-6000
Mailing address
1205 N WAGON WAY, SPANISH FORK, UT 84660-6265
(801) 885-4916

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
6914314-4405
UT
3747P1801X
Personal Care Attendant
2017-PCA-UT000567
UT

Other

Enumeration date
03/21/2017
Last updated
12/18/2023
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