Individual
MS. VICKIE DEEDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3400 E MARKET ST, LOGANSPORT, IN 46947-2295
(574) 722-9633
(574) 722-5987
Mailing address
3400 E MARKET ST, LOGANSPORT, IN 46947-2295
(574) 722-9633
(574) 722-5987
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71000409A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200340830
—
IN
Enumeration date
04/18/2006
Last updated
11/04/2011
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