person
Angie D Hicks-master, ANP
Psychiatric/Mental Health Nurse Practitioner in Manila, Arkansas
NPI 1255405353

Angie D Hicks-master is a Psychiatric/Mental Health Nurse Practitioner based in Manila, AR and is specialized in Psychiatric/Mental Health. Angie D Hicks-master practices in Manila, AR and has the professional credentials of ANP. The NPI Number for Angie D Hicks-master is 1255405353 and holds a License No. A002923 (Arkansas).

The current practice location address for Angie D Hicks-master is 920 East Medical Drive, Manila, AR and can be reached out via phone at 810-570-0358 and via fax at 870-570-0359.

Location: 920 East Medical Drive, Manila, AR, 72442
person
Provider Profile Details
NPI Number
1255405353
Provider Name
Angie D Hicks-master
Credential
ANP
Provider Entity Type
Individual
Gender
Female
Address
920 East Medical Drive, Manila, AR, 72442
Phone Number
810-570-0358
Fax Number
870-570-0359
Provider Enumeration Date
11/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2007012778 01 MO MO STATE LICENSE
A002923 01 AR AR STATE LICENSE
17515 01 TN TN STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
920 East Medical Drive
City
State
Zip
72442
Phone Number
810-570-0358
Fax Number
870-570-0359
person
Provider Business Mailing Address Details
Address
920 East Medical Drive
City
State
Zip
72442
Phone Number
810-570-0358
Fax Number
870-570-0359
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
A002923 (Arkansas)
Definition
Definition to come...
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