Individual
SHELLEY A HICKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
35 MEDICAL CENTER PKWY, AUGUSTA, ME 04330-8160
(207) 621-8800
(207) 621-8801
Mailing address
35 MEDICAL CENTER PKWY, AUGUSTA, ME 04330-8160
(207) 621-8800
(207) 621-8801
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
048186
ME
363L00000X
Nurse Practitioner
Primary
CNP81417
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
278880099
—
ME
Enumeration date
02/07/2006
Last updated
11/17/2015
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