Doctor Name: | MS. SARAH ELIZABETH HICKS |
NPI Number: | 1013914837 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA-C |
License Number: | PA 9102950 |
Business Practice Address: | 990 Tamiami Trl N Naples, FL - 341025403 |
Business Phone Number: | 2394346300 |
Business Fax Number: | 2394347174 |
Mailing Address: | 2234 Colonial Blvd, Attn: Payer Contracting & Relations FORT MYERS |
State: | FL |
Postal Code: | 339071412 |
Phone Number: | 2399317342 |
Fax Number: | 2399317385 |
NPI Enumeration Date: | 07/07/2005 |
NPI Last Update Date: | 01/18/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AS0400X |
License Number: | PA 9102950 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Surgical |
Taxonomy Definition: |