Individual
MRS. NICOLE LYNN HICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
716 WAYFIELD CT, BEAVERCREEK, OH 45430-1476
(937) 304-5163
Mailing address
716 WAYFIELD CT, BEAVERCREEK, OH 45430-1476
(937) 304-5163
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
374J00000X
Doula
—
—
374U00000X
Home Health Aide
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2904842
—
OH
Enumeration date
12/22/2020
Last updated
10/18/2022
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