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Organization

HICKMAN PSYCHIATRY OF ARIZONA, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LAURA ANN HICKMAN PMHNP-BC (OWNER)
(602) 441-2778
Entity
Organization

Contact information

Practice address
10446 N 74TH ST STE 140, SCOTTSDALE, AZ 85258-1045
(602) 441-2778
(602) 916-0916
Mailing address
10446 N 74TH ST STE 140, SCOTTSDALE, AZ 85258-1045
(602) 441-2778
(602) 916-0916

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP5445
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1366866931
NPI
AZ
05
894679
AZ
Enumeration date
04/04/2016
Last updated
10/05/2020
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