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Ms. Tamitha Sue Hickman
Family Nurse Practitioner in Wabash, Indiana
NPI 1083113393

Tamitha Sue Hickman is a Family Nurse Practitioner based in Wabash, IN and is specialized in Family. Tamitha Sue Hickman practices in Wabash, IN. The NPI Number for Tamitha Sue Hickman is 1083113393 and holds a License No. 28162999A (Indiana).

The current practice location address for Tamitha Sue Hickman is 775 Manchester Ave Ste B, Wabash, IN and can be reached out via phone at 260-569-3757.

Location: 775 Manchester Ave Ste B, Wabash, IN, 46992-1420
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1083113393
Provider Name
Tamitha Sue Hickman
Credential
Provider Entity Type
Individual
Gender
Female
Address
775 Manchester Ave Ste B, Wabash, IN, 46992-1420
Phone Number
260-569-3757
Fax Number
Provider Enumeration Date
02/02/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
775 Manchester Ave Ste B
City
Wabash
State
Indiana
Zip
46992-1420
Phone Number
260-569-3757
Fax Number
person
Provider Business Mailing Address Details
Address
775 Manchester Ave Ste B
City
Wabash
State
Indiana
Zip
46992-1420
Phone Number
260-569-3757
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
28162999A (Indiana)
Definition
Definition to come...
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