NPI 1083931976
Tara J Hickman, NMD
Practice location
- Address
- 3538 N Highway 112, Fayetteville, AR 72704-5485
- Phone
- (479) 445-2220
- Mailing address
- 977 E Oaks Manor Dr, Fayetteville, AR 72703-3519
Registered specialties
Naturopath
Primary
Registry record
- NPI
- 1083931976
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 1 May 2010
- Record last updated
- 1 May 2010
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.