Individual
MRS. SIBREE L VICKERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6675 BUSINESS PKWY STE F, ELKRIDGE, MD 21075-6349
(866) 799-5886
Mailing address
6675 BUSINESS PKWY STE F, ELKRIDGE, MD 21075-6349
(866) 799-5886
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2019034471
MO
363LF0000X
Family Nurse Practitioner
53-79035-101
KS
Other
Enumeration date
06/22/2020
Last updated
07/28/2023
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