person
Latricia Deloris Hickenbottom, CRNP
Gerontology Nurse Practitioner in Mobile, Alabama
NPI 1700343811

Latricia Deloris Hickenbottom is a Gerontology Nurse Practitioner based in Mobile, AL and is specialized in Gerontology. Latricia Deloris Hickenbottom practices in Mobile, AL and has the professional credentials of CRNP. The NPI Number for Latricia Deloris Hickenbottom is 1700343811 and holds a License No. 1-134340 (Alabama).

The current practice location address for Latricia Deloris Hickenbottom is 1515 S University Blvd, Mobile, AL and can be reached out via phone at 251-343-9600.

Location: 1515 S University Blvd, Mobile, AL, 36618-3603
person
Provider Profile Details
NPI Number
1700343811
Provider Name
Latricia Deloris Hickenbottom
Credential
CRNP
Provider Entity Type
Individual
Gender
Female
Address
1515 S University Blvd, Mobile, AL, 36618-3603
Phone Number
251-343-9600
Fax Number
Provider Enumeration Date
02/25/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1515 S University Blvd
City
State
Zip
36609-2958
Phone Number
251-343-9600
Fax Number
person
Provider Business Mailing Address Details
Address
1515 S University Blvd
City
State
Zip
36609-2958
Phone Number
251-343-9600
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
License No.
1-134340 (Alabama)
Definition
Definition to come...
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