Hicks, Stephanie A

Hicks, Stephanie A is an sole proprietor health care provider with primary practice located at 715 N Weber St Ste 100 , Colorado Springs CO 80903-1092. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Hicks, Stephanie A can be contacted via phone (719) 473-6155.

Contact Information

Primary practice address
715 N Weber St Ste 100 Colorado Springs CO 80903-1092
Phone: (719) 473-6155
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 4704226066 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X APN.0994601-CRNA Colorado

Profile Details

NPI number 1548219918
LBN Legal business name Hicks, Stephanie A
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 10th, 2006
Last updated Feb 28th, 2024 - about last year

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 1548219918 NPPES
Colorado MEDICAID 9000180220

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