Provider Demographics
NPI:1235208448
Name:SIKES, LUCY ANNE (MS, RN, ARNP)
Entity Type:Individual
Prefix:MS
First Name:LUCY
Middle Name:ANNE
Last Name:SIKES
Suffix:
Gender:F
Credentials:MS, RN, ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4607 W 63RD ST
Mailing Address - Street 2:
Mailing Address - City:PRAIRIE VILLAGE
Mailing Address - State:KS
Mailing Address - Zip Code:66208-1512
Mailing Address - Country:US
Mailing Address - Phone:913-432-1888
Mailing Address - Fax:866-247-9455
Practice Address - Street 1:4607 W 63RD ST
Practice Address - Street 2:
Practice Address - City:PRAIRIE VILLAGE
Practice Address - State:KS
Practice Address - Zip Code:66208-1512
Practice Address - Country:US
Practice Address - Phone:913-432-1888
Practice Address - Fax:866-247-9455
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS74037363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health