KANDREE HICKS APRN NPI 1215169578

NPI Information

NPI: 1215169578
Provider Name: KANDREE HICKS, APRN
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
120 CONNECTICUT AVE
NORWALK, CT
ZIP 06854
Phone: (203) 899-1770
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Kandree Hicks, APRN is a family nurse practitioner in Norwalk, CT. Kandree Hicks, APRN NPI is 1215169578. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

120 CONNECTICUT AVE
NORWALK, CT
ZIP 06854-525
Phone: (203) 899-1770
Fax: (203) 899-1769

The enumeration date for this NPI number is 8/19/2009 and was last updated on 11/2/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	004157	CONNECTICUT	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	004236346	MEDICAID	CONNECTICUT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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