MS. ASSUNTA MARIA VICKERS RN PHN NPI 1083837264

NPI Information

NPI: 1083837264
Provider Name: MS. ASSUNTA MARIA VICKERS, RN, PHN
Classification: Registered Nurse - 163WA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
164 W HOSPITALITY LN STE 3
SAN BERNARDINO, CA
ZIP 92408
Phone: (909) 379-1505
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MS. Assunta Maria Vickers, RN, PHN is an addiction (substance use disorder) registered nurse in San Bernardino, CA. MS. Assunta Maria Vickers, RN, PHN NPI is 1083837264. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

164 W HOSPITALITY LN STE 3
SAN BERNARDINO, CA
ZIP 92408-328
Phone: (909) 379-1505

The enumeration date for this NPI number is 4/10/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WA0400X	Registered Nurse	Addiction (Substance Use Disorder)	333687	CALIFORNIA	Yes
2	163WC0400X	Registered Nurse	Case Management	333687	CALIFORNIA	X
3	163WC1500X	Registered Nurse	Community Health	333687	CALIFORNIA	X
4	163WH0200X	Registered Nurse	Home Health	333687	CALIFORNIA	X
5	163WI0500X	Registered Nurse	Infusion Therapy	333687	CALIFORNIA	X
6	163WM0102X	Registered Nurse	Maternal Newborn	333687	CALIFORNIA	X
7	163WN0003X	Registered Nurse	Neonatal, Low-Risk	33687	CALIFORNIA	X
8	163WP0200X	Registered Nurse	Pediatrics	33687	CALIFORNIA	X
9	163WP0807X	Registered Nurse	Psychiatric/Mental Health, Child & Adolescent	33687	CALIFORNIA	X

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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