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Individual

VICKI LYNN ENDRES

Active
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Individual

VICKI LYNN ENDRES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CNM

Taxonomy

Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
116
WV
367A00000X
Advanced Practice Midwife
23563
WV
367A00000X
Advanced Practice Midwife
Primary
9360329
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001721059
MS BCBS
WV
01
—
7498050
AETNA
WV
05
—
9450012000
—
WV
Enumeration date
01/11/2006
Last updated
02/26/2018
About Stedi
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