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Individual

MS. VIKKI LEE VAIANI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSNAPRNBC

Contact information

Practice address
12952 BANDERA RD STE 105, HELOTES, TX 78023-4690
(210) 844-0538
(210) 934-2058
Mailing address
24165 IH 10 W STE 217-743, SAN ANTONIO, TX 78257-1449
(210) 844-0538
(210) 934-2058

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
446681
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
446681
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
088299501
TX
Enumeration date
07/12/2006
Last updated
08/18/2021
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