NPI 1114359247

Shauna Hickem, RN

Practitioner Addiction (Substance Use Disorder) Registered Nurse Columbia, MO

Practice location

Address: 201 N Garth Ave, Columbia, MO 65203-4105
Phone: (573) 449-3953

Registered specialties

Addiction (Substance Use Disorder) Registered Nurse Primary

Nursing Service Providers Taxonomy 163WA0400X Licence 2013019513 (MO)

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Registry record

NPI: 1114359247
Entity type: Individual
Sex (as registered): Female
NPI issued: 31 Jul 2013
Record last updated: 5 Nov 2013

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.