Individual
HILARY ANN LICARDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
4600 EVERGREEN PL SE, ALBANY, OR 97322
(541) 812-4662
Mailing address
PO BOX 1189, CORVALLIS, OR 97339-1189
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
ARNP2129202
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003131385A
—
GA
05
—
008451000
—
FL
Enumeration date
01/28/2013
Last updated
01/06/2026
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