Hickey, Melinda Sue

Hickey, Melinda Sue is an individual health care provider with primary practice located at 221 Ne Glen Oak Ave , Peoria IL 61636-0001. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Hickey, Melinda Sue can be contacted via phone (309) 678-2218.

Contact Information

Primary practice address
221 Ne Glen Oak Ave Peoria IL 61636-0001
Phone: (309) 678-2218
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X AG09220121 Illinois

Profile Details

NPI number 1396453346
LBN Legal business name Hickey, Melinda Sue
Credentials MSN, AGNP-C, CWON
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2022
Last updated Nov 8th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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