| Doctor Name: | SANDRA N HICKEY |
| NPI Number: | 1235498916 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | 194123 |
| Business Practice Address: | 255 Grapevine Rd Wenham, MA - 019841813 |
| Business Phone Number: | 9788674300 |
| Business Fax Number: | 9788674676 |
| Mailing Address: | 255 Grapevine Rd, WENHAM |
| State: | MA |
| Postal Code: | 019841813 |
| Phone Number: | 9788674300 |
| Fax Number: | |
| NPI Enumeration Date: | 05/15/2012 |
| NPI Last Update Date: | 05/15/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LS0200X |
| License Number: | 194123 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | School |
| Taxonomy Definition: | |