Individual
LATRISHA DIANA HICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
930 W 21ST ST FL 2, NORFOLK, VA 23517-1516
(757) 624-1785
(757) 624-1759
Mailing address
930 W 21ST ST FL 2, NORFOLK, VA 23517-1516
(757) 624-1785
(757) 624-1759
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024195222
VA
Other
Enumeration date
10/31/2025
Last updated
06/09/2026
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