Individual
KELLI ELIZABETH HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
41 MALL RD, BURLINGTON, MA 01805-5083
(781) 744-8000
Mailing address
PO BOX 24520, NEW YORK, NY 10087-3720
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN66560
RI
363L00000X
Nurse Practitioner
RN2267675
MA
363LF0000X
Family Nurse Practitioner
CAPRN02386
RI
363LF0000X
Family Nurse Practitioner
Primary
RN2267675
MA
Other
Enumeration date
08/15/2019
Last updated
06/18/2025
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