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General NPI Number Information
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NPI Number | 1588989230
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Entity Type | Individual
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Provider Name | KATHERINE HICKS LITTLE APRN
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Gender | Female
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Dates
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Enumeration Date | 04/06/2010
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Last Update Date | 12/02/2025
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Provider Practice Location Address
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Address Line | 100 ASMA BLVD STE 200-E
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City | LAFAYETTE
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State | LA
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Zip | 70508
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Country | US
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Telephone | 337-504-2332
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Fax | 337-504-4748
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Provider Business Mailing Address
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Address Line | 16475 HWY 190
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City | PORT BARRE
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State | LA
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Zip | 70577
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Country | US
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Telephone | 337-945-0600
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | RN100811-AP06090
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | AP06090
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License Number State | LA
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