Provider Demographics
NPI:1073972147
Name:HICKMAN, SHARRON (RN, HEALTH EDUCATOR)
Entity Type:Individual
Prefix:
First Name:SHARRON
Middle Name:
Last Name:HICKMAN
Suffix:
Gender:F
Credentials:RN, HEALTH EDUCATOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7134 PENDALE CIR
Mailing Address - Street 2:
Mailing Address - City:NORTH TONAWANDA
Mailing Address - State:NY
Mailing Address - Zip Code:14120-9713
Mailing Address - Country:US
Mailing Address - Phone:716-868-8032
Mailing Address - Fax:
Practice Address - Street 1:7134 PENDALE CIR
Practice Address - Street 2:
Practice Address - City:NORTH TONAWANDA
Practice Address - State:NY
Practice Address - Zip Code:14120-9713
Practice Address - Country:US
Practice Address - Phone:716-868-8032
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-18
Last Update Date:2016-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator