LAURA HICKENBOTTOM

URBANA, IL
NPI1043617665
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LN0000X Nurse Practitioner, Neonatal
(Licence: IL  209014221)
Additional Taxonomies363LN0000X Nurse Practitioner, Neonatal
(Licence: MO  2014040196)
Enumeration Date2014-11-25
Last Update Date2021-12-10
Business Address
LAURA HICKENBOTTOM NP
611 W. PARK ST. NEONATOLOGY
URBANA, IL 61801-2500
Phone number: 217-383-3266
Mailing Address
LAURA HICKENBOTTOM NP
611 W. PARK ST. BWPC
URBANA, IL 61801-2500
Phone number: 217-383-6941