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Individual

BRITTANY TARA HICKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
4415 AICHOLTZ RD STE A, CINCINNATI, OH 45245-1506
(513) 751-6667
(513) 872-4553
Mailing address
7500 STATE RD, CINCINNATI, OH 45255-2439

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1110357
KY
163W00000X
Registered Nurse
400646
OH
163W00000X
Registered Nurse
72672
WV
367500000X
Certified Registered Nurse Anesthetist
Primary
400646
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0144839
OH
Enumeration date
05/22/2014
Last updated
05/29/2026
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