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Individual
VICKIE LYNN SORRELL
Active
Individual
VICKIE LYNN SORRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
58087
WV
163W00000X
Registered Nurse
9420904
FL
363LF0000X
Family Nurse Practitioner
2011007183
WV
363LF0000X
Family Nurse Practitioner
Primary
9420904
FL
Other
Enumeration date
12/05/2011
Last updated
01/21/2022
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