Michelle Hicks, CNP
Nurse Practitioner, Pediatrics in Ypsilanti, MI. Individual provider (NPI-1).
NPI number1275684490
StatusActive
Last updated in NPPESDec 30, 2016
Details
- NPI
- 1275684490
- Entity type
- Individual (NPI-1)
- Name
- Michelle Hicks
- Credential
- CNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 15, 2007
- Last updated
- Dec 30, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0200X | Nurse Practitioner, Pediatrics | 470416304 | MI | Yes |
Practice location
4936 W Clark RdSuite 101
Ypsilanti, MI 48197-0861
Phone 734-434-3000 · Fax 734-434-8040
Mailing address
24 Frank Lloyd Wright DrPo Box 0446 Lobby J
Ann Arbor, MI 48105-9484
Phone 734-747-6766 · Fax 734-222-3100
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