Individual
CAROL HICKS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
167 HIGH ST, PORTSMOUTH, NH 03801-3708
(603) 431-6803
Mailing address
469 LINCOLN AVE, PORTSMOUTH, NH 03801-5058
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
0218482304
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
S87783
UPIN
NH
Enumeration date
05/24/2006
Last updated
07/08/2007
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