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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. DIANE ELIZABETH HICKEY, NP

Active Sole Proprietor

DR. DIANE ELIZABETH HICKEY, NP is a Gerontological Nurse Practitioner healthcare provider located in COON RAPIDS, Minnesota. NPI 1063116242 is currently active in the NPPES registry. Verify at CMS.

Gerontological Nurse Practitioner · COON RAPIDS, MN

Registration Details

NPI Number
1063116242
Provider Type
Individual
Gender
Female
NPI Issued
Mar 30, 2023 (3.3536180832111 yrs)
Last Updated
Nov 20, 2024
License
2512436 (MN)
Sole Proprietor
Yes

Practice Information

Address
9055 SPRINGBROOK DR NW
COON RAPIDS, MN, 554335841
Browse MN providers · Browse ZIP 55433
Phone
7637809155
Primary Specialty
Gerontological Nurse Practitioner
363LG0600X

Other Gerontological Nurse Practitioner Providers in COON RAPIDS, MN

Name Credential NPI
MARIA TARLUE KEITA NP 1215365606
MARISA KEIDEL NP 1609741693
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.