Individual
AHILYA DESHPANDE HICKCOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGNP-C
Contact information
Practice address
1055 COMMONWEALTH AVE, BOSTON, MA 02215-1001
(617) 295-7235
(844) 791-0108
Mailing address
1055 COMMONWEALTH AVE, BOSTON, MA 02215-1001
(844) 791-0108
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
7321
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AG07190013
AMERICAN ASSOCIATION OF NURSE PRACTITIONERS
—
Enumeration date
05/06/2020
Last updated
04/17/2024
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