Wanda F Hicks, LPN Valid NPI

Individual provider · Licensed Practical Nurse · Crossett, AR

NPI

1750537387

Type

Individual (Type 1)

Primary specialty

Licensed Practical Nurse

Specialty group

Nursing Service Providers

Taxonomy code

164W00000X

License number

L28915 (AR)

Sex

Female

Sole proprietor

Yes

Enumerated

2008-08-14

Last updated

2009-02-05