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Tamara Lynn Hickman, CPNP
Pediatric Nurse Practitioner in Charlevoix, Michigan
NPI 1699989665

Tamara Lynn Hickman is a Pediatric Nurse Practitioner based in Central Lake, MI and is specialized in Pediatrics. Tamara Lynn Hickman practices in Charlevoix, MI and has the professional credentials of CPNP. The NPI Number for Tamara Lynn Hickman is 1699989665 and holds a License No. 4704113645 (Michigan).

The current practice location address for Tamara Lynn Hickman is Northwest Michigan Community Health Agency, Charlevoix, MI and can be reached out via phone at 231-547-6523 and via fax at 231-547-6238.

Location: Northwest Michigan Community Health Agency, Charlevoix, MI, 49622-9701
person
Provider Profile Details
NPI Number
1699989665
Provider Name
Tamara Lynn Hickman
Credential
CPNP
Provider Entity Type
Individual
Gender
Female
Address
Northwest Michigan Community Health Agency, Charlevoix, MI, 49622-9701
Phone Number
231-547-6523
Fax Number
231-547-6238
Provider Enumeration Date
05/09/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
TH113645 01 MI BCBSM LICENSE NUMBER
4868054 05 MI
50-0-A5-1010-0 01 MI BCBSM
institution
Provider Business Practice Location Address Details
Address
Northwest Michigan Community Health Agency
City
State
Zip
49720
Phone Number
231-547-6523
Fax Number
231-547-6238
person
Provider Business Mailing Address Details
Address
Northwest Michigan Community Health Agency
City
State
Zip
49720
Phone Number
231-547-6523
Fax Number
231-547-6238
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
4704113645 (Michigan)
Definition
Definition to come...
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