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Individual

JOSEPH PATRICK MCVICKER

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
NAVAL HOSPITAL, ANESTHESIA DEPARTMENT, 100 BREWSTER BLVD, CAMP LEJEUNE, NC 28547
(910) 450-3326
Mailing address
139 YACHT CLUB DR, NEWPORT, NC 28570-9085
(252) 393-1109
(252) 393-1109

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
168656
NC
367500000X
Certified Registered Nurse Anesthetist
0024165747
VA
367500000X
Certified Registered Nurse Anesthetist
168656
NC
367500000X
Certified Registered Nurse Anesthetist
C01382
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
44313600
WI
Enumeration date
02/01/2006
Last updated
09/11/2025
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