Individual
MS. TASHA MICHELLE HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
11140 W COLONIAL DR STE 1, OCOEE, FL 34761-3300
(407) 877-6500
(321) 203-4612
Mailing address
11140 W COLONIAL DR STE 1, OCOEE, FL 34761-3300
(407) 877-6500
(321) 203-4612
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN9298689
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021603000
—
FL
Enumeration date
11/03/2016
Last updated
12/06/2024
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