Individual
MRS. DIANE M HICKOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNC, CNNP
Contact information
Practice address
16001 W 9 MILE RD, SOUTHFIELD, MI 48075-4818
(248) 849-3046
(248) 849-8339
Mailing address
16001 W 9 MILE RD, SOUTHFIELD, MI 48075-4818
(248) 849-3046
(248) 849-8339
Taxonomy
Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
4704184271
MI
Other
Enumeration date
03/10/2008
Last updated
03/10/2008
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