Individual
STEPHANIE LYNN VICKERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
606 WASHINGTON ST, RAVENSWOOD, WV 26164-1730
(304) 273-1033
(304) 273-1034
Mailing address
606 WASHINGTON ST, RAVENSWOOD, WV 26164-1730
(304) 273-1033
(304) 273-1034
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
110905
WV
Other
Enumeration date
09/28/2021
Last updated
03/20/2023
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