Individual
MICHELLE A HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
S74W16775 JANESVILLE RD, MUSKEGO, WI 53150-7742
(414) 773-4312
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
13211
WI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
13211
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100216574
—
WI
05
—
100216654
—
WI
Enumeration date
07/27/2022
Last updated
10/07/2025
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