Provider Demographics
NPI:1528317492
Name:BICK, KATHERINE R (NP)
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:R
Last Name:BICK
Suffix:
Gender:F
Credentials:NP
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Mailing Address - Street 1:200 MILL RD STE 180
Mailing Address - Street 2:SOUTHCOAST PHYSICIANS GROUP, INC.
Mailing Address - City:FAIRHAVEN
Mailing Address - State:MA
Mailing Address - Zip Code:02719-5255
Mailing Address - Country:US
Mailing Address - Phone:508-973-2000
Mailing Address - Fax:508-973-2001
Practice Address - Street 1:363 HIGHLAND AVE
Practice Address - Street 2:SOUTHCOAST PHYSICIANS GROUP, INC.
Practice Address - City:FALL RIVER
Practice Address - State:MA
Practice Address - Zip Code:02720-3703
Practice Address - Country:US
Practice Address - Phone:508-679-3131
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-09-06
Last Update Date:2012-09-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MARN158861363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner