Individual
MRS. VICKI LYNN SHIVELY
Active
Individual
MRS. VICKI LYNN SHIVELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N., PHN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN371323
CA
163WA2000X
Administrator Registered Nurse
RN371323
CA
163WC0400X
Case Management Registered Nurse
Primary
RN371323
CA
163WC1500X
Community Health Registered Nurse
RN371323
CA
Other
Enumeration date
01/10/2007
Last updated
09/11/2025
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