Michelle Coleen Hicks
Nurse Practitioner - Family Medicine
205 Wabasha St S
Saint Paul
, Minnesota 55107
Michelle Coleen Hicks
Nurse Practitioner - Family Medicine
205 Wabasha St S
Saint Paul
, Minnesota 55107
(952) 853-8727
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About
Features
Specialties
- Nurse Practitioner - Family Medicine
Languages spoken
- English
Location
First Address
- Michelle Coleen Hicks
- 8170 33rd Ave S # Ms 21110q
- Minneapolis, MN
- Zip : 55425-4516
- Fax : (952) 853-8727
- Phone : (651) 293-8100
Second Address
- Michelle Coleen Hicks
- 205 Wabasha St S
- Saint Paul, MN
- Zip : 55107
- Fax : (651) 293-8106
- Phone : (651) 293-8100
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LF0000X | Nurse Practitioner - Family Medicine | R175430-0 | MN |
National Provider Identifier
| NPI | 1003232273 |
|---|---|
| Provider Name | Michelle Coleen Hicks |
| First Address | Minneapolis, MN 55425-4516 |
| Second Address | Saint Paul, MN 55107 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/03/2014 |
| Last Update Date | 17/04/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.