NATALIA IVANIVNA HICKS


Address: 2233 Villard St Apt 103, Ashland, OR 97520-1440
Phone: 5419139909

NATALIA IVANIVNA HICKS (NPI# 1033645213) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1033645213
Entity Type Individual
Full Name NATALIA IVANIVNA HICKS
Other Name NATALIA IVANIVNA OLENDAR
Practice Address 2233 Villard St Apt 103
Ashland
OR 97520-1440
Practice Telephone 5419139909
Mailing Telephone 5419139909
Enumeration Date 2017-05-07
Last Update Date 2017-05-07
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163W00000X Registered Nurse 201390298RN OR Nursing Service Providers
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
201702726NP-PP OR Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 2233 VILLARD ST APT 103
City ASHLAND
State OR
Zip Code 97520-1440

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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

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Competitor

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City ASHLAND
Zip Code 97520

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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