Individual
BETH HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
379 6TH AVE W, BRADENTON, FL 34205-8820
(941) 782-4150
(941) 782-4104
Mailing address
PO BOX 197515, NASHVILLE, TN 37219-7515
(941) 782-4391
(941) 782-4301
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
4704182411
MI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN11017578
FL
Other
Enumeration date
02/16/2015
Last updated
05/03/2022
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