Search › Oklahoma › 183500000X
Breanna Hicks
NPI 1740880954 · on the registry since 2020 · sole proprietor
Practice
- Address
- 1200 Garth Brooks Blvd
Yukon, OK 73099 - Phone
- (405) 350-0500
- Organisation at this address
- Wal-Mart Stores East Lp
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Licence states on file
- OK
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-10-27
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 Oklahoma