Individual
MRS. VICKIE LYNN NEWBOLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
4998 DIBBLE RD, KINGSVILLE, OH 44048-9711
(440) 224-0996
(440) 224-2223
Mailing address
4998 DIBBLE RD, KINGSVILLE, OH 44048-9711
(440) 224-0996
(440) 224-2223
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
RN-265411
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2165339
INDEPENDENT PROVIDER
OH
Enumeration date
04/24/2007
Last updated
07/08/2007
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