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LATRICIA DELORIS HICKENBOTTOM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
1515 S UNIVERSITY BLVD, MOBILE, AL 36609-2958
(251) 343-9600
Mailing address
3581 MEADOW LN E, MOBILE, AL 36618-3603

Taxonomy

Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
1-134340
AL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1-134340
AL

Other

Enumeration date
02/25/2019
Last updated
10/13/2025
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