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Elizabeth Hicks

NPI 1972482370 · on the registry since 2025 · sole proprietor

Practice

Address
81999 Old Logan Rd.
Champanbille, WV 25508
Phone
(304) 688-1855

Registry record

Primary taxonomy
374U00000X
374U00000X
Licence states on file
NULL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-08-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in West Virginia