Individual
KATIE HICKENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
4400 W 69TH ST, SIOUX FALLS, SD 57108-8170
(605) 661-6263
Mailing address
4400 W 69TH STREET, SIOUX FALLS, SD 57108-1222
(605) 322-4005
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
CP003278
SD
363LF0000X
Family Nurse Practitioner
Primary
CP003278
SD
Other
Enumeration date
07/11/2024
Last updated
01/24/2025
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