Individual
CASEY LEE HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-9000
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-9000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
2017000943
MO
363LF0000X
Family Nurse Practitioner
Primary
8164
MN
Other
Enumeration date
12/29/2016
Last updated
02/23/2024
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