Individual
MRS. CAROL ANN VIKSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
330 DURANT AVE, P.S. 53R, STATEN ISLAND, NY 10308-3030
(718) 980-0555
Mailing address
330 DURANT AVE, P.S. 53R, STATEN ISLAND, NY 10308-3030
(718) 980-0555
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
409837-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
409837-1
RN LICENSE
NY
Enumeration date
03/08/2012
Last updated
03/08/2012
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