Vicki Nicole Lary CFNP

NPI 1083788665 - Nurse Practitioner - 363LF0000X

NPI Details
NPI 1083788665
Gender Female
Enumeration Date 11/17/2006
Last Updated 03/30/2009
Entity Type Individual
Active Over 10 years ago
Practice Location
103 BASKET ST
ITTA BENA MS, 38941-2801, US
Phone (662) 254-7801
Fax (662) 254-9173
Business Location
2207 RIVER ROAD EXTENDED
GREENWOOD MS, 38930, US
Phone (662) 451-9984
Fax
Toxanomy
Taxonomy Code 363LF0000X
License State Mississippi
License Number R860262
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According to our database, Mrs. Vicki Nicole Lary CFNP NPI is 1083788665, taxonomy code is 363LF0000X and license number is R860262, license state is located at Mississippi. Vicki Nicole Lary CFNP physically located at 103 Basket St, Itta Bena MS, 38941-2801. NPI Number Vicki Nicole Lary CFNP has the Individual type.

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1083788665 NPI number is provided on an as is basis without warranty of any kind. 1083788665 is maintained by the National Plan & Provider Enumeration System. The contents of Vicki Nicole Lary CFNP are for informational purposes only.