| Doctor Name: | VICKI BICE |
| NPI Number: | 1114208816 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CPNP |
| License Number: | 990141 |
| Business Practice Address: | 559 Vincent St 21 Mdos/sgoc - Pediatrics Peterson Afb, CO - 809141540 |
| Business Phone Number: | 7195561277 |
| Business Fax Number: | 7195561161 |
| Mailing Address: | 559 Vincent St, 21 Mdos/sgoc - Pediatrics PETERSON AFB |
| State: | CO |
| Postal Code: | 809141540 |
| Phone Number: | 7195561277 |
| Fax Number: | 7195561161 |
| NPI Enumeration Date: | 09/08/2011 |
| NPI Last Update Date: | 10/26/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0200X |
| License Number: | 990141 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CO |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |