Individual
AQUANYA JATIL HICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9320 US HIGHWAY 301 S, RIVERVIEW, FL 33578-6300
(813) 471-0000
Mailing address
2995 DREW ST, CLEARWATER, FL 33759-3012
(727) 281-9065
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN9321339
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP9321339
FL
Other
Enumeration date
12/11/2017
Last updated
05/22/2025
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