Kawana Latrice Hickman in Milwaukee - Licensed Practical Nurse
Kawana Latrice Hickman - NPI 1164484515
Kawana Latrice Hickman is a Licensed Practical Nurse in Milwaukee, Wisconsin. Kawana Latrice Hickman practices all healthcare services and medical treatments related to Licensed Practical Nurse. The NPI Number for Kawana Latrice Hickman is 1164484515. The last update date is 2012-10-05.
Kawana Latrice Hickman's current location address is Po Box 100442, Milwaukee, Wisconsin. You can contact this provider via phone number 4148287202. The mailing address for Kawana Latrice Hickman is Po Box 100442, Milwaukee, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kawana Latrice Hickman |
|---|---|
| Address | Po Box 100442, Milwaukee, Wisconsin |
| Phone Number | 4148287202 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LPN |
NPI Number Detail
| NPI Number | 1164484515 |
|---|---|
| Provider Enumeration Date | 2006-04-03 |
| Last Updated Date | 2012-10-05 |
Provider Mailing Address Detail
| Address | Po Box 100442 |
|---|---|
| City | Milwaukee |
| State | Wisconsin (WI) |
| Post Code | 532100442 |
| Phone Number | 4148287202 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Licensed Practical Nurse |
|---|---|
| Taxonomy | 164W00000X |
| Licence No | 302249-031 |
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Definition: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job r |
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What is the Kawana Latrice Hickman's unique identification number?
The Kawana Latrice Hickman has been assigned the NPI (National Provider Identifier) Number 1164484515 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Kawana Latrice Hickman located?
The Kawana Latrice Hickman is located at Po Box 100442, Milwaukee, WI 532100442.
What is Kawana Latrice Hickman's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Kawana Latrice Hickman is Licensed Practical Nurse, and the taxonomy classification code that categorizes this area of expertise is 164W00000X.
On what date did the Kawana Latrice Hickman receive its 1164484515 assignment from the Centers for Medicare & Medicaid Services?
The Kawana Latrice Hickman was assigned its 1164484515 by the Centers for Medicare & Medicaid Services on 2006-04-03.
As of what date were the details related to Kawana Latrice Hickman most recently updated or revised?
The information pertaining to Kawana Latrice Hickman, including its address, specialty, and other relevant details, was last updated or revised on 2012-10-05.