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Individual

BRIAN A HICKEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
APRN BC

Contact information

Practice address
300 CENTERVILLE ROAD, SUITE 101 SUMMIT WEST, WARWICK, RI 02886
(401) 732-4500
(401) 732-7766
Mailing address
300 CENTERVILLE RD STE 101, WARWICK, RI 02886-0200
(401) 732-4500
(401) 732-7766

Taxonomy

Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
RN19583
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
212652
BLUE CROSS BLUE SHIELD
RI
01
406518
BLUE CHIP
RI
Enumeration date
10/20/2006
Last updated
09/10/2025
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