NPI 1528881711

Michelle Lea Hicks

Practitioner Specialist Clarksburg, WV

Practice location

Address: 154 E Main St, Clarksburg, WV 26301-2160
Phone: (304) 880-5694

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X

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Registry record

NPI: 1528881711
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Nov 2024
Record last updated: 17 Mar 2025

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.