IndividualActive
Angie Hicks-Master, ANP
NPI 1255405353 · Psychiatric/Mental Health Nurse Practitioner · Manila, AR
Provider details
- NPI number
- 1255405353
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- ANP
- Sex
- Female
- Sole proprietor
- Yes
- License
- A002923 (AR)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
920 East Medical Drive
Manila, AR 72442
Phone: (810) 570-0358
Fax: (870) 570-0359
Approximate (ZIP-level) locationGet directions
Mailing address
P.o. Box 717
Manila, AR 72442
Additional practice locations (1)
- 310 E Lake StManila, AR 72442Phone: (870) 243-3960Fax: (870) 561-4913
Registry dates
- Enumerated
- 2006-11-20
- Last updated
- 2022-05-28
- Certified
- 2022-05-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.