Individual
MRS. DEBORAH LEE HICKETHIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
25977 205TH AVE, CORNELL, WI 54732-5536
(715) 239-6332
Mailing address
25977 205TH AVE, CORNELL, WI 54732-5536
(715) 239-6332
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
193766-30
WI
163WH0200X
Home Health Registered Nurse
193766-30
WI
Other
Enumeration date
07/09/2014
Last updated
07/09/2014
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