Individual
ANDREA HUTCHINS SICKINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
354 BIRNIE AVE, SPRINGFIELD, MA 01107-1108
(413) 733-3470
Mailing address
354 BIRNIE AVE, SPRINGFIELD, MA 01107-1108
(413) 733-3470
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2417-023
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1245469873
BLUE CROSS BLUE SHIELD
WI
05
—
1245469873
—
WI
Enumeration date
07/02/2009
Last updated
06/05/2012
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