Individual
VICKI L FOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
14212 AMBAUM BLVD SW, 106, BURIEN, WA 98166-1449
(206) 244-5520
(206) 957-0034
Mailing address
14212 AMBAUM BLVD SW, 106, BURIEN, WA 98166-1449
(206) 244-5520
(206) 957-0034
Taxonomy
Speciality
Code
Description
License number
State
363LC1500X
Community Health Nurse Practitioner
Primary
AP30001950
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
56184
WORKERS COMPENSATION
WA
05
—
9636137
—
WA
01
—
A005
TRICARE
WA
Enumeration date
10/10/2006
Last updated
03/20/2012
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