Individual
LAURA ANN HICKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
10446 N 74TH ST STE 140, SCOTTSDALE, AZ 85258
(602) 441-2778
(602) 916-0916
Mailing address
10446 N 74TH ST STE 140, SCOTTSDALE, AZ 85258-1045
(602) 441-2778
(602) 916-0916
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP5445
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1366866931
PSYCHIATRY
AZ
Enumeration date
02/18/2014
Last updated
10/05/2020
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