IndividualActive
Alicia Hickson
NPI 1699302232 · Medical Physician Assistant · Minnetonka, MN
Provider details
- NPI number
- 1699302232
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 13804 (MN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
5810 Baker Rd Ste 100
Minnetonka, MN 55345-5941
Phone: (952) 546-5322
Approximate (ZIP-level) locationGet directions
Mailing address
1250 Wayzata Blvd E
Wayzata, MN 55391-1951
Registry dates
- Enumerated
- 2020-03-24
- Last updated
- 2025-05-09
- Certified
- 2025-05-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.