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NPI Profile for MARANDA HICKEY in CLARKSVILLE, AR.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Family |
363LF0000X | 50 | Nurse Practitioner |
| NPI Number | 1255813879 |
|
| Status | Active | |
| Credentials | APRN (Advanced Practice Registered Nurse) | |
| Entity | Individual | |
| Enumeration date | 08/30/2018 | |
| Last updated | 01/20/2019 - About 7 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
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| Hospital affiliation(s) |
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MARANDA HICKEY
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MARANDA HICKEY, APRN