Healthcare Provider Details

I. General information

NPI: 1437004942
Provider Name (Legal Business Name): EMMA ROSE HICKEY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/02/2026
Last Update Date: 03/02/2026
Certification Date: 03/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001 NEW JERSEY AVE SE APT 1241
WASHINGTON DC
20003-6411
US

IV. Provider business mailing address

1001 NEW JERSEY AVE SE APT 1241
WASHINGTON DC
20003-6411
US

V. Phone/Fax

Practice location:
  • Phone: 914-886-2734
  • Fax:
Mailing address:
  • Phone: 914-886-2734
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP2201X
TaxonomyAmbulatory Care Registered Nurse
License NumberRN500003068
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: