# LOWRYANNE VICK PROF LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326772674
- **Authorized official:** LOWRYANNE VICK DNP, APRN, ACNP-BC (NURSE PRACTITIONER)
- **Authorized official phone:** (702) 750-4753

## Contact information

- **Practice address:** 1311 S MARYLAND PKWY, LAS VEGAS, NV 89104-3309
- **Practice address phone:** (702) 750-4753
- **Mailing address:** 4440 SAPPHIRE MOON AVE, NORTH LAS VEGAS, NV 89084-4767
- **Mailing address phone:** (702) 750-4753

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2100X | Acute Care Nurse Practitioner | — | NULL | Yes |
| 363LA2100X | Acute Care Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 07/12/2022
- **Last updated:** 07/12/2022