Mrs Nicole Denise Hickson, NP | |
6507 Baltimore Ave, Baltimore, MD 21222-4002 | |
(443) 760-0564 | |
Not Available |
Full Name | Mrs Nicole Denise Hickson |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 5 Years |
Location | 6507 Baltimore Ave, Baltimore, Maryland |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073157459 | NPI | - | NPPES |
666351600 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | R204896 (Maryland) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Amedisys Home Health | Westminster, MD | Home health agency |
Amedisys Home Health Of Maryland | Glen burnie, MD | Home health agency |
Homecall, Inc | Baltimore, MD | Home health agency |
Amedisys Home Health | Rosedale, MD | Home health agency |
Entity Name | Pathway To Wellness Healthcare Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265040380 PECOS PAC ID: 4082028881 Enrollment ID: O20210205000002 |
Mailing Address | Practice Location Address |
---|---|
Mrs Nicole Denise Hickson, NP 6507 Baltimore Ave, Baltimore, MD 21222-4002 Ph: (443) 739-3814 | Mrs Nicole Denise Hickson, NP 6507 Baltimore Ave, Baltimore, MD 21222-4002 Ph: (443) 760-0564 |
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