National Provider Identifier

Tracy K Hickmott, LPN

Tracy K Hickmott, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Rochester, NY and a listed phone number of (585) 350-5965.

NPI 1407437395Rochester, NYLicensed Practical Nurse

Profile Overview

NPI
1407437395
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
April 21, 2021
Last Updated
April 21, 2021

Practice Location

  • 30 Lancraft St
  • Rochester, NY 14609-3806

Phone: (585) 350-5965

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1407437395
Entity Type
Individual
Last Name
Hickmott
First Name
Tracy
Middle Name
K
Credential
LPN
Mailing Street Address
30 Lancraft St
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14609-3806
Mailing Country
US
Mailing Phone
(585) 350-5965
Practice Street Address
30 Lancraft St
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14609-3806
Practice Country
US
Practice Phone
(585) 350-5965
Enumeration Date
April 21, 2021
Last Updated
April 21, 2021
Sex
Female
Sole Proprietor
Yes
Certification Date
April 21, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)