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NPI Profile for MICHAEL HICKMAN in GUNNISON, UT.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Family |
363LF0000X | 50 | Nurse Practitioner | |
Personal Care Attendant |
3747P1801X |
| NPI Number | 1043741176 |
|
| Status | Active | |
| Credentials | FNP-BC (Family Nurse Practitioner) | |
| Entity | Individual | |
| Enumeration date | 03/21/2017 | |
| Last updated | 12/18/2023 - About 2 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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MICHAEL HICKMAN
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MICHAEL HICKMAN, FNP-BC