Individual
COURTNEY A HICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
22 S GREENE ST, BALTIMORE, MD 21201-1544
(410) 328-1556
Mailing address
12 OPEN GATE CT, NOTTINGHAM, MD 21236-1656
(410) 627-0255
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R204312
MD
Other
Enumeration date
06/27/2019
Last updated
06/27/2019
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