Individual
PATRICIA L HICKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1306 E 7TH ST, SUITE C, AUBURN, IN 46706-2537
(260) 925-0666
(260) 925-0669
Mailing address
1306 E 7TH ST, SUITE C, AUBURN, IN 46706-2536
(260) 925-0666
(260) 925-0669
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71000715
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200178800A
—
IN
Enumeration date
07/28/2005
Last updated
05/08/2008
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