Angie D Hicks-Master, ANP
Angie D Hicks-Master, ANP is a Nurse Practitioner in Manila, Arkansas. Qualified in 2005, 21 years ago. Practices with Foundation a Wellness Practice, LLC, a 6-clinician group, works from 2 locations and offers telehealth. Licensed in Arkansas and Tennessee.
- Years since qualifying
- 21
- Licensed in
- AR, TN
- In the registry since
- 2006
- Specialties on file
- 2
Practice location Address checks out
920 E Medical DrManila, AR 72442
Phone: (810) 570-0358
Fax: (870) 570-0359
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 310 E Lake St, Manila, AR 72442 — (870) 243-3960
Specialties & licences
| Psychiatric/Mental Health Nurse Practitioner (primary) | Taxonomy 363LP0808X · Licence APN0000017515 (TN) |
|---|---|
| Psychiatric/Mental Health Nurse Practitioner | Taxonomy 363LP0808X · Licence A002923 (AR) |
Record details
| NPI number | 1255405353 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | ANP |
| Sole proprietor | Yes |
| NPI enumerated | November 20, 2006 |
| Last updated in NPPES | May 28, 2022 |
| Certification date | May 28, 2022 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2005 (21 years in practice) |
| Group practice | Foundation A Wellness Practice, Llc — 6 clinicians |
| Accepts Medicare assignment | Not indicated |
| Telehealth | Offers telehealth services |
| Practice locations | 2 on file with Medicare |