| Doctor Name: | PAULA VICKERY |
| NPI Number: | 1013083211 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APRN |
| License Number: | RN - 40545 |
| Business Practice Address: | 1251 Kilauea Ave Ste 190c Hilo, HI - 967204293 |
| Business Phone Number: | 8089611000 |
| Business Fax Number: | 8089611000 |
| Mailing Address: | 1635 Oneawa Pl, HILO |
| State: | HI |
| Postal Code: | 967205590 |
| Phone Number: | 8089598785 |
| Fax Number: | |
| NPI Enumeration Date: | 11/28/2006 |
| NPI Last Update Date: | 12/03/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WP0809X |
| License Number: | RN - 40545 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | HI |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Psych/Mental Health, Adult |
| Taxonomy Definition: | |