Individual
VICKIE ELAINE CARRINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1430 COLLIER ST, AUSTIN, TX 78704-2911
(512) 445-7787
(512) 440-4059
Mailing address
12216 DONINGTON DR, AUSTIN, TX 78753-6808
(512) 332-4816
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
099918
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
099918
LVN LICENSE
TX
Enumeration date
06/04/2019
Last updated
06/04/2019
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