Hickey, Shelley A

Hickey, Shelley A is an individual health care provider with primary practice located at 35 Medical Center Pkwy , Augusta ME 04330-8160. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Hickey, Shelley A can be contacted via phone (207) 621-8800.

Contact Information

Primary practice address
35 Medical Center Pkwy Augusta ME 04330-8160
Phone: (207) 621-8800
Fax: (207) 621-8801
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 048186 Maine
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X CNP81417 Maine

Profile Details

NPI number 1306818976
LBN Legal business name Hickey, Shelley A
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2006
Last updated Nov 17th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306818976 NPPES
Maine MEDICAID 278880099

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