Latricia Deloris Hickenbottom, CRNP is a gerontology nurse practitioner in Mobile, AL with 7 years of experience. Latricia Deloris Hickenbottom, CRNP NPI is 1700343811. 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:
1515 S UNIVERSITY BLVD
MOBILE, AL
ZIP 36609-958
Phone: (251) 343-9600
The NPI 1700343811 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 2/25/2019 and was last updated on 10/21/2019.