Individual
VICKI L MCNEILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
600 MARY ST, EVANSVILLE, IN 47747-0001
(812) 450-3405
(812) 450-3099
Mailing address
PO BOX 3407, EVANSVILLE, IN 47733-3407
(812) 450-3405
(812) 450-3099
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71001505A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000308438
BCBS - MARY STREET
IN
01
—
000000381101
BCBS - GATEWAY
IN
05
—
200418070
—
IN
05
—
78009230
—
KY
Enumeration date
09/27/2006
Last updated
12/13/2018
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