Individual
LINAE MARIE HICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
257 W SAINT GEORGE AVE, GRANTSBURG, WI 54840-7827
(715) 463-5353
Mailing address
11342 STATE ROAD 48, LUCK, WI 54853-9606
(715) 327-5777
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
92458-030
WI
363LF0000X
Family Nurse Practitioner
Primary
6772-33
WI
Other
Enumeration date
11/09/2007
Last updated
03/17/2018
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