Provider Demographics
NPI:1134601149
Name:HICKS, BRANDI (DNP, NP-C)
Entity type:Individual
Prefix:
First Name:BRANDI
Middle Name:
Last Name:HICKS
Suffix:
Gender:F
Credentials:DNP, NP-C
Other - Prefix:
Other - First Name:BRANDI
Other - Middle Name:
Other - Last Name:LOHRENZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7314 ALLENS PARK DR
Mailing Address - Street 2:
Mailing Address - City:COLO SPGS
Mailing Address - State:CO
Mailing Address - Zip Code:80922-1278
Mailing Address - Country:US
Mailing Address - Phone:605-490-2707
Mailing Address - Fax:
Practice Address - Street 1:4041 E SAN MIGUEL ST
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80909-3537
Practice Address - Country:US
Practice Address - Phone:719-344-7846
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-06
Last Update Date:2022-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAPN.0994076-NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
COAPN.0994076-NPOtherADVANCED PRACTICE NURSE LICENSE
CORXN.0103461-NPOtherNURSE PRACTITIONER RXN LICENSE