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Amy Hicks

NPI 1467773903 · on the registry since 2010

Practice

Address
90 Hope Dr
Bldg. 6000
Mountain Home A F B, ID 83648
Phone
(208) 828-7580
Fax
(208) 828-3940
Clinicians at this address
20

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2010-10-25

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho