IndividualActive
Diane Hickox, RNC, CNNP
NPI 1891965521 · Critical Care Neonatal Nurse Practitioner · Southfield, MI
Provider details
- NPI number
- 1891965521
- Entity type
- Individual
- Primary specialty
- Critical Care Neonatal Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- RNC, CNNP
- Sex
- Female
- Sole proprietor
- No
- License
- 4704184271 (MI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
16001 W 9 Mile Rd
Southfield, MI 48075-4818
Phone: (248) 849-3046
Fax: (248) 849-8339
Approximate (ZIP-level) locationGet directions
Mailing address
16001 W 9 Mile Rd
Southfield, MI 48075-4818
Registry dates
- Enumerated
- 2008-03-10
- Last updated
- 2008-03-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.