Individual
KRISTINA MARIE HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1701 N SENATE AVE, INDIANAPOLIS, IN 46202-5306
(317) 962-2000
Mailing address
5553 PAINTED MAPLE CT, INDIANAPOLIS, IN 46254-9630
(317) 771-9376
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
71016686A
IN
363LG0600X
Gerontology Nurse Practitioner
71016686A
IN
Other
Enumeration date
06/10/2025
Last updated
11/18/2025
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