Provider Demographics
NPI:1114306560
Name:HICKS, NORA (RNFA)
Entity Type:Individual
Prefix:
First Name:NORA
Middle Name:
Last Name:HICKS
Suffix:
Gender:F
Credentials:RNFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2065 EAST SOUTH BLVD.
Mailing Address - Street 2:SUITE 204
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36116-2460
Mailing Address - Country:US
Mailing Address - Phone:334-281-6990
Mailing Address - Fax:334-281-9725
Practice Address - Street 1:2065 EAST SOUTH BLVD.
Practice Address - Street 2:SUITE 204
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36116-2460
Practice Address - Country:US
Practice Address - Phone:334-281-6990
Practice Address - Fax:334-281-9725
Is Sole Proprietor?:No
Enumeration Date:2015-05-19
Last Update Date:2015-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1088282163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant