MRS. Tanda Elizabeth Hicks, FNP

NPI #1053312504 in Wheatland, Wyoming

Provider Information

NPI Number
1053312504
Entity Type
Individual
Name
MRS. Tanda Elizabeth Hicks, FNP
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner - Family
Credential
FNP
Enumeration Date
Aug 9, 2005
Last Updated
Mar 7, 2023

Practice Location

Address
1551 BRICE ST
Address 2
WHEATLAND MEDICAL CLINIC
State
Wyoming
ZIP Code
82201-3505
Phone
(307) 322-3861

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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