Individual
MRS. TARA LYNN HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1111 E COLUMBIA ST, #107, SEATTLE, WA 98122-1090
(206) 296-6300
(209) 296-6090
Mailing address
901 12TH AVE, SEATTLE, WA 98122-4411
(206) 363-0710
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
AP30007418
WA
Other
Enumeration date
10/09/2006
Last updated
01/05/2023
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