Vicky Lynne Fairey RN,C

NPI 1710006101 - Registered Nurse - 163WA0400X

NPI Details
NPI 1710006101
Gender Female
Enumeration Date 03/28/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
HIGHWAY J NORTH BOX 441
HAYTI MO, 63851, US
Phone (573) 359-2600
Fax
Business Location
943 JEFFERSON AVE
CARUTHERSVILLE MO, 63830-1757, US
Phone (573) 333-2894
Fax (573) 333-2607
Toxanomy
Taxonomy Code 163WA0400X
License State Missouri
License Number 142179
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According to our database, Mrs. Vicky Lynne Fairey RN,C NPI is 1710006101, taxonomy code is 163WA0400X and license number is 142179, license state is located at Missouri. Vicky Lynne Fairey RN,C physically located at Highway J North Box 441, Hayti MO, 63851. NPI Number Vicky Lynne Fairey RN,C has the Individual type.

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1710006101 NPI number is provided on an as is basis without warranty of any kind. 1710006101 is maintained by the National Plan & Provider Enumeration System. The contents of Vicky Lynne Fairey RN,C are for informational purposes only.