Tamara Lynn Hickman, CPNP
NPI #1699989665 in Charlevoix, Michigan
Provider Information
- NPI Number
- 1699989665
- Entity Type
- Individual
- Name
- Tamara Lynn Hickman, CPNP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Pediatrics
- Credential
- CPNP
- Enumeration Date
- May 9, 2007
- Last Updated
- Jun 28, 2016
Practice Location
- Address
- NORTHWEST MICHIGAN COMMUNITY HEALTH AGENCY
- Address 2
- 220 W. GARFIELD STREET
- City
- Charlevoix
- State
- Michigan
- ZIP Code
- 49720
- Phone
- (231) 547-6523
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Pediatrics — Pediatrics |
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