Individual
RAVEN E HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, CRNA
Contact information
Practice address
3600 JOSEPH SIEWICK DR, FAIRFAX, VA 22033-1709
(703) 391-3037
(703) 391-3006
Mailing address
548 SNYDER RD, OAKLAND, MD 21550-2460
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0024184095
VA
367500000X
Certified Registered Nurse Anesthetist
AC002998
MD
Other
Enumeration date
01/27/2020
Last updated
02/20/2026
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