Doctor Name: | VICKIE LYNNE AUTEN |
NPI Number: | 1174980106 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.N. |
License Number: | 085053 |
Business Practice Address: | 216 W Division St Clarinda, IA - 516322509 |
Business Phone Number: | 7125422388 |
Business Fax Number: | 7125422984 |
Mailing Address: | 216 W Division St, CLARINDA |
State: | IA |
Postal Code: | 516322509 |
Phone Number: | 7125422388 |
Fax Number: | 7125422984 |
NPI Enumeration Date: | 01/21/2016 |
NPI Last Update Date: | 01/21/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WP0808X |
License Number: | 085053 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |