Individual
MEGAN EILEEN HICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 HINCKLEY CIR, BELLA VISTA, AR 72714-4123
(479) 200-1003
Mailing address
1 HINCKLEY CIR, BELLA VISTA, AR 72714-4123
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R107372
AR
Other
Enumeration date
01/21/2021
Last updated
01/21/2021
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