Individual
MS. DIANNE C. HICKOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
RT 611, TANNERSVILLE PLAZA, TANNERSVILLE, PA 18372
(570) 619-5142
(570) 619-0127
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-3034
(570) 271-6144
(570) 271-6578
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP004553A
PA
Other
Enumeration date
06/27/2007
Last updated
07/08/2007
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