Individual
VICKI LYNN PEASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, NP-C
Contact information
Practice address
7060 N RECREATION AVE, 101, FRESNO, CA 93720-8022
(559) 325-5656
(559) 325-5568
Mailing address
2625 E DIVISADERO ST, FRESNO, CA 93721-1431
(559) 443-2682
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
368983
CA
363LP0200X
Pediatric Nurse Practitioner
Primary
11626
CA
Other
Enumeration date
12/27/2006
Last updated
12/15/2016
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