Individual
VICKIE S PAULUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1003 COTTONWOOD RD, CRESTON, IA 50801-1012
(641) 782-8457
(641) 782-7048
Mailing address
1003 COTTONWOOD RD, CRESTON, IA 50801-1012
(641) 782-8457
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
081901
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0123984
—
IA
Enumeration date
01/29/2019
Last updated
01/29/2019
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