Individual
KANDREE HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
120 CONNECTICUT AVE, NORWALK, CT 06854-1525
(203) 899-1770
(203) 899-1769
Mailing address
120 CONNECTICUT AVE, NORWALK, CT 06854-1525
(203) 899-1770
(203) 899-1769
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
004157
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004236346
—
CT
Enumeration date
08/19/2009
Last updated
11/02/2011
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