Emily Nicole Hicke, PA

NPI #1083323190 in Coon Rapids, Minnesota

Provider Information

NPI Number: 1083323190
Entity Type: Individual
Name: Emily Nicole Hicke, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Nov 17, 2022
Last Updated: Jun 9, 2023

Practice Location

Address: 9055 SPRINGBROOK DR NW
City: Coon Rapids
State: Minnesota
ZIP Code: 55433-5841
Phone: (763) 780-9155

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X
Physician Assistant - Medical — Medical	363AM0700X
Physician Assistant	363A00000X	Primary

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