Individual
LETA HOUSTON HICKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CNP
Contact information
Practice address
40555 BURTON TRL, CHAGRIN FALLS, OH 44022-6692
(440) 423-0437
(440) 423-0461
Mailing address
40555 BURTON TRL, CHAGRIN FALLS, OH 44022-6692
Taxonomy
Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
RN-198048
OH
363LN0000X
Neonatal Nurse Practitioner
Primary
CTP-02010
OH
Other
Enumeration date
10/06/2006
Last updated
09/11/2025
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