Individual
MRS. TANDA ELIZABETH HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1551 BRICE ST, WHEATLAND MEDICAL CLINIC, WHEATLAND, WY 82201-3505
(307) 322-3861
(307) 322-2018
Mailing address
1551 BRICE ST, WHEATLAND, WY 82201-3505
(307) 322-3861
(307) 322-2018
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
18710-0263
WY
Other
Enumeration date
08/09/2005
Last updated
03/07/2023
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