Individual
KRISTA HICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2255 N 65TH ST, WAUWATOSA, WI 53213-2033
(414) 454-0635
Mailing address
2255 N 65TH ST, WAUWATOSA, WI 53213-2033
(414) 454-0635
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
190273
WI
Other
Enumeration date
08/02/2018
Last updated
08/02/2018
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