Individual
SARA HICKS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
100 OSAGE EXECUTIVE CIR, HOUSE SPRINGS, MO 63051-1382
(636) 677-9977
(636) 677-9179
Mailing address
100 OSAGE EXECUTIVE CIR, HOUSE SPRINGS, MO 63051-1382
(636) 677-9977
(636) 677-9179
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2001025215
MO
Other
Enumeration date
01/27/2006
Last updated
07/08/2007
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