| Doctor Name: | MS. VICKI D WARD |
| NPI Number: | 1821195595 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS FNP PSYCH NP |
| License Number: | CNP-02142 |
| Business Practice Address: | 1108 W Us Route 66 Moriarty, NM - 870351006 |
| Business Phone Number: | 5058324434 |
| Business Fax Number: | 5058325024 |
| Mailing Address: | 12127 Hwy 14 N Ste 5b, CEDAR CREST |
| State: | NM |
| Postal Code: | 870089461 |
| Phone Number: | 5087766153 |
| Fax Number: | |
| NPI Enumeration Date: | 09/17/2006 |
| NPI Last Update Date: | 07/18/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | CNP-02142 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NM |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |