Individual
JOSEPH P HICKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
5820 S. EASTERN, LIFESTYLE CENTER, LAS VEGAS, NV 89119
(702) 797-2353
Mailing address
PO BOX 15645, LAS VEGAS, NV 89114-5645
(702) 579-3298
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
APRN001803
NV
363LF0000X
Family Nurse Practitioner
209-005046
IL
363LF0000X
Family Nurse Practitioner
2167-033
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1942386776
—
NV
01
—
V108918
SMACC MEDICARE
NV
Enumeration date
10/27/2006
Last updated
12/10/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us