KRISTIANA HICKENBOTHAM

TERRE HAUTE, IN
NPI1386511707
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: IN  71017270A)
Enumeration Date2025-10-21
Last Update Date2025-10-21
Business Address
KRISTIANA HICKENBOTHAM
620 8TH AVE
TERRE HAUTE, IN 47804-2771
Phone number: 812-231-8242
Mailing Address
KRISTIANA HICKENBOTHAM
620 8TH AVE
TERRE HAUTE, IN 47804-2771
Phone number: 812-231-8242