| Provider / Organization | NPI | Date Certified |
|---|---|---|
| ALISHA LICKWAR | 1154057297 | 2022-07-30 |
Alisha Lickwar is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1154057297. Registration indicates Alisha Lickwar is a provider of access to ob/gyn services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Nurse Practitioner: Womens Health, ) (All Other Specialties & Provider Types, ) (Nurse Practitioner Womens Health, Physician Assistants & Advanced Practice Nursing Providers) (Nurse Practitioner, )
| Entity Type | Individual |
| Provider Name | Alisha Lickwar WHNP-BC, MSN, RN |
| Practice Office Address | 200 GARFIELD DR NE STE 1 WARREN, OH US |
| Practice Office Telephone | 3303721828 |
| Mailing Address | 2230 SALT SPRINGS RD WARREN, OH 444819766 US |
| Business Telephone | 3303944597 |
| Code | Practice | License No State |
|---|---|---|
| 363LW0102X PRIMARY | Access to OB/GYN Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Nurse Practitioner: Womens Health All Other Specialties & Provider Types Nurse Practitioner Womens Health Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | 0031856
OH |