Tara Vickers, R.N.
Registered Nurse, Addiction (Substance Use Disorder) in Niagara Falls, NY. Individual provider (NPI-1).
NPI number1982159828
StatusActive
Last updated in NPPESAug 21, 2016
Details
- NPI
- 1982159828
- Entity type
- Individual (NPI-1)
- Name
- Tara Vickers
- Credential
- R.N.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 21, 2016
- Last updated
- Aug 21, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WA0400X | Registered Nurse, Addiction (Substance Use Disorder) | 553163-1 | NY | Yes |
Practice location
2470 Allen AveNiagara Falls, NY 14303-1908
Phone 716-580-3556
Mailing address
131 Colden CtCheektowaga, NY 14225-5002
Phone 716-580-3665
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