Individual
AUDREY ERIN HICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1500 PROVIDENT DR, WARSAW, IN 46580-3377
(574) 372-7637
Mailing address
27430 N WALES RD, ELKMONT, AL 35620-4840
(256) 206-6065
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71006711A
IN
363LF0000X
Family Nurse Practitioner
APN0000021668
TN
363LF0000X
Family Nurse Practitioner
RN261031
GA
Other
Enumeration date
10/05/2016
Last updated
09/14/2020
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