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Individual

NANCY M HICKEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
133 FAIRFIELD ST, ST ALBANS, VT 05478-1726
(802) 524-5911
Mailing address
PO BOX 1359, WILLISTON, VT 05495-1359
(802) 524-7100
(802) 524-7021

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
042-0009142
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0VN1277
VT
Enumeration date
05/25/2006
Last updated
10/02/2009
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