Provider Demographics
NPI:1942507074
Name:HICKMAN, NATALIE BANKS (REGISTERED NURSE)
Entity Type:Individual
Prefix:MS
First Name:NATALIE
Middle Name:BANKS
Last Name:HICKMAN
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:MS
Other - First Name:NATALIE
Other - Middle Name:BANKS
Other - Last Name:FIGUEROA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:BADEN STREET SETTLEMENT OF ROCHESTER
Mailing Address - Street 2:585 JOSEPH AVENUE
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14605
Mailing Address - Country:US
Mailing Address - Phone:585-325-4910
Mailing Address - Fax:585-546-1491
Practice Address - Street 1:BADEN STREET SETTLEMENT OF ROCHESTER
Practice Address - Street 2:585 JOSEPH AVENUE
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14605
Practice Address - Country:US
Practice Address - Phone:585-325-4910
Practice Address - Fax:585-546-1491
Is Sole Proprietor?:No
Enumeration Date:2011-02-25
Last Update Date:2019-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY555171163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse