Licardi, Hilary Ann

Licardi, Hilary Ann is an individual health care provider with primary practice located at 4600 Evergreen Pl Se , Albany OR 97322. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Licardi, Hilary Ann can be contacted via phone (541) 812-4662.

Contact Information

Primary practice address
4600 Evergreen Pl Se Albany OR 97322
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X ARNP2129202 Florida

Profile Details

NPI number 1992043863
LBN Legal business name Licardi, Hilary Ann
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 28th, 2013
Last updated May 23rd, 2023 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1992043863 NPPES
Georgia MEDICAID 003131385A
Georgia MEDICAID 008451000

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