Individual
CHRISTI LEA VICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, APRN, AGNP-CNP
Contact information
Practice address
704 AZALEA HILL DR, YUKON, OK 73099-6504
(405) 747-4835
(405) 467-4417
Mailing address
704 AZALEA HILL DR, YUKON, OK 73099-6504
(405) 747-4835
(405) 467-4417
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
109643
OK
363LA2200X
Adult Health Nurse Practitioner
Primary
109643
OK
Other
Enumeration date
09/04/2019
Last updated
12/24/2019
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