Individual
NINA HICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
630 WALNUT ST, ALPENA, MI 49707-1832
(989) 356-6649
(989) 356-3559
Mailing address
630 WALNUT ST, ALPENA, MI 49707-1832
(989) 356-6649
(989) 356-3559
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703089620
MI
Other
Enumeration date
11/29/2016
Last updated
11/29/2016
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