Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Tanda Elizabeth Hicks, FNP

Individual provider Family Nurse Practitioner · NPI 1053312504

Mrs. Tanda Elizabeth Hicks, FNP is a Nurse Practitioner in Wheatland, Wyoming. Qualified in 2002, 24 years ago. Practices with Memorial Hospital of Converse County, a 80-clinician group and accepts Medicare assignment. Licensed in Wyoming.

Years since qualifying
24
Licensed in
WY
In the registry since
2005
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

See every abbreviation used in this directory →

Practice location Address checks out

1551 Brice St Wheatland Medical Clinic
Wheatland, WY 82201-3505
Phone: (307) 322-3861
Fax: (307) 322-2018
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 18710-0263 (WY)

Record details

NPI number1053312504
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedAugust 9, 2005
Last updated in NPPESMarch 7, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Memorial Hospital Of Converse County — 80 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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