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Individual

MRS. SARA MARIE HICKEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ACNP

Contact information

Practice address
501 S UNION AVE, HAVRE DE GRACE, MD 21078-3409
(443) 843-5375
Mailing address
500 UPPER CHESAPEAKE DR, BEL AIR, MD 21014-4324
(443) 643-2775

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
LP-0000144
DE
363LA2100X
Acute Care Nurse Practitioner
Primary
R134602
MD

Other

Enumeration date
08/15/2011
Last updated
09/30/2015
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