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Individual

MELISSA ALISON HICKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
F.N.P.

Contact information

Practice address
1728 W MARINE VIEW DR STE 106, EVERETT, WA 98201-2094
(425) 339-5453
(425) 252-4441
Mailing address
PO BOX 5127, EVERETT, WA 98206-5127
(425) 339-5453
(425) 252-4441

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
APN0000007934
TN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP61163633
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3908935
TN
Enumeration date
07/04/2006
Last updated
08/13/2021
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