Organization
PATHWAY TO WELLNESS HEALTHCARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NICOLE DENISE HICKSON CRNP (FAMILY NURSE PRACTITIONER)
(443) 739-3814
Entity
Organization
Contact information
Practice address
4200 EDMONDSON AVE STE 205, BALTIMORE, MD 21229-1614
(443) 739-3814
(240) 348-2962
Mailing address
1120 N CHARLES ST STE 400, BALTIMORE, MD 21201-5594
(443) 739-3814
(833) 975-0904
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
666351600
—
MD
Enumeration date
07/14/2020
Last updated
04/22/2026
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