Individual
MRS. EILEEN M HICKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN CRNP VP003207N LI
Contact information
Practice address
3400 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-5127
(215) 590-3749
Mailing address
3400 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-5127
(215) 590-3749
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
VP003207N
PA
Other
Enumeration date
04/13/2007
Last updated
12/29/2014
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