Individual
MRS. ERIN ELIZABETH HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
801 POLE LINE RD W, TWIN FALLS, ID 83301-5810
(208) 814-4100
(208) 814-4908
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-8752
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
7961569
ID
363LA2200X
Adult Health Nurse Practitioner
1234
ID
363LG0600X
Gerontology Nurse Practitioner
1234
ID
Other
Enumeration date
04/05/2024
Last updated
09/05/2024
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