Individual
AMANDA C HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
9900 BREN RD E, MAIL ROUTE MN 008-B213, MINNETONKA, MN 55343-9664
(830) 385-6618
Mailing address
5812 OAK CREEK CT, LIPAN, TX 76462-6861
(830) 385-6618
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
754875
TX
363LF0000X
Family Nurse Practitioner
AP121105
TX
Other
Enumeration date
10/10/2011
Last updated
09/17/2020
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