National Provider Identifier
Tanishia C Hicks, LPN
Tanishia C Hicks, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Kenmore, NY and a listed phone number of (716) 777-2776.
Profile Overview
- NPI
- 1821416132
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- April 03, 2014
- Last Updated
- April 03, 2014
Practice Location
- 552 Englewood Ave
- Kenmore, NY 14223-2704
Phone: (716) 777-2776
Mailing Address
- 552 Englewood Ave.
- Kenmore, NY 14223
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1821416132
- Entity Type
- Individual
- Last Name
- Hicks
- First Name
- Tanishia
- Middle Name
- C
- Credential
- LPN
- Mailing Street Address
- 552 Englewood Ave.
- Mailing City
- Kenmore
- Mailing State
- NY
- Mailing ZIP Code
- 14223
- Mailing Country
- US
- Mailing Phone
- (716) 777-2776
- Practice Street Address
- 552 Englewood Ave
- Practice City
- Kenmore
- Practice State
- NY
- Practice ZIP Code
- 14223-2704
- Practice Country
- US
- Practice Phone
- (716) 777-2776
- Enumeration Date
- April 03, 2014
- Last Updated
- April 03, 2014
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)