PAULA VICKERY APRN NPI 1013083211

NPI Information

NPI: 1013083211
Provider Name: PAULA VICKERY, APRN
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Address:
1251 KILAUEA AVE STE 190C
HILO, HI
ZIP 96720
Phone: (808) 961-1000
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Paula Vickery, APRN is a psychiatric/mental health nurse practitioner in Hilo, HI. Paula Vickery, APRN NPI is 1013083211. 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:

1251 KILAUEA AVE STE 190C
HILO, HI
ZIP 96720-293
Phone: (808) 961-1000
Fax: (808) 961-1000

The enumeration date for this NPI number is 11/28/2006 and was last updated on 12/3/2014.

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	163WP0809X	Registered Nurse	Psychiatric/Mental Health, Adult	RN - 40545	HAWAII	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	APRN - 742	HAWAII	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	Q35320	MEDICARE UPIN	HAWAII
2	0000247171	OTHER	HAWAII	HMSA
3	0000551798	MEDICAID	HAWAII
4	100164	MEDICARE ID-TYPE UNSPECIFIED	HAWAII

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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