Doctor Name: | MRS. VICKI SENN |
NPI Number: | 1881007086 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CRNP |
License Number: | 1-066454 |
Business Practice Address: | 1800 Us Highway 84 W Opp, AL - 364673520 |
Business Phone Number: | 3344934357 |
Business Fax Number: | 3342223825 |
Mailing Address: | 1800 Us Highway 84 W, OPP |
State: | AL |
Postal Code: | 364673520 |
Phone Number: | 3344934357 |
Fax Number: | 3342223825 |
NPI Enumeration Date: | 06/04/2014 |
NPI Last Update Date: | 11/25/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 1-066454 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | AL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |