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Individual
VICKI TATE
Active
Individual
VICKI TATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN140943
AZ
363LF0000X
Family Nurse Practitioner
Primary
241362
AZ
Other
Enumeration date
02/12/2019
Last updated
04/04/2024
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