Individual
KIRSTEN HICKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
370 LANCASTER AVE, HAVERFORD, PA 19041-1336
(610) 896-1089
(215) 230-7599
Mailing address
370 LANCASTER AVE, HAVERFORD, PA 19041
(610) 896-1089
(215) 230-7599
Taxonomy
Speciality
Code
Description
License number
State
163WC1400X
College Health Registered Nurse
Primary
RN321512L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1255626529
LINKED WITH HAVERFORD COLLEGE GRP NPI
PA
Enumeration date
10/27/2011
Last updated
10/27/2011
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