Provider Demographics
NPI:1770790958
Name:HICKEY, APRIL LYNN (CNS)
Entity type:Individual
Prefix:
First Name:APRIL
Middle Name:LYNN
Last Name:HICKEY
Suffix:
Gender:F
Credentials:CNS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4143 SHAWNEE TRL
Mailing Address - Street 2:
Mailing Address - City:JAMESTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:45335-1219
Mailing Address - Country:US
Mailing Address - Phone:937-675-6237
Mailing Address - Fax:937-341-8843
Practice Address - Street 1:MCINTIRE 2ND FLOOR ONE WYOMING STREET
Practice Address - Street 2:1222 S. PATTERSON BLVD. SUITE 390
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45402
Practice Address - Country:US
Practice Address - Phone:937-208-6639
Practice Address - Fax:937-341-8843
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.123631 NS-06193163WP0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0000XNursing Service ProvidersRegistered NursePain Management