| Doctor Name: | MS. VICKI LYNN LOVE |
| NPI Number: | 1699759134 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ARNP |
| License Number: | 17362 |
| Business Practice Address: | 783 Quintana Rd Morro Bay, CA - 934421943 |
| Business Phone Number: | 8057710111 |
| Business Fax Number: | 8057710108 |
| Mailing Address: | 117 West Bunny Ave, SANTA MARIA |
| State: | CA |
| Postal Code: | 934583455 |
| Phone Number: | 8053463456 |
| Fax Number: | 8053463454 |
| NPI Enumeration Date: | 11/29/2005 |
| NPI Last Update Date: | 11/20/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 17362 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |