Vickie Joann Carll in Saint Louis - Adult Health
Vickie Joann Carll - NPI 1710902176
Vickie Joann Carll is a Adult Health in Saint Louis, Missouri. Vickie Joann Carll practices all healthcare services and medical treatments related to Adult Health. The NPI Number for Vickie Joann Carll is 1710902176. The last update date is 2013-08-15.
Vickie Joann Carll's current location address is 12125 Woodcrest Executive Dr, Saint Louis, Missouri. You can contact this provider via phone number 3143170600 and fax number 3143170606. The mailing address for Vickie Joann Carll is 12125 Woodcrest Executive Dr, Saint Louis, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Vickie Joann Carll |
|---|---|
| Address | 12125 Woodcrest Executive Dr, Saint Louis, Missouri |
| Phone Number | 3143170600 |
| Fax Number | 3143170606 |
| Sole Proprietor | N |
| Credentials | ANP |
NPI Number Detail
| NPI Number | 1710902176 |
|---|---|
| Provider Enumeration Date | 2006-07-13 |
| Last Updated Date | 2013-08-15 |
Provider Mailing Address Detail
| Address | 12125 Woodcrest Executive Dr |
|---|---|
| City | Saint Louis |
| State | Missouri (MO) |
| Post Code | 631415001 |
| Phone Number | 3143170600 |
| Fax Number | 3143170606 |
Provider's Primary Taxonomy Detail
| Speciality | Adult Health |
|---|---|
| Taxonomy | 363La2200X |
| Licence No | 109547 |
|
Definition: An advanced practice registered nurse expert in providing primary and specialty healthcare services to adult patients. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1710902176 | MO | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Vickie Joann Carll by the Centers for Medicare & Medicaid Services?
The Vickie Joann Carll has been issued the NPI (National Provider Identifier) 1710902176. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Vickie Joann Carll is located?
The Vickie Joann Carll is situated at the following address: 12125 Woodcrest Executive Dr, Saint Louis, MO, 631415001.
What is Vickie Joann Carll's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Vickie Joann Carll is Adult Health, and the taxonomy classification code that categorizes this area of expertise is 363La2200X.
On what date was the 1710902176 assigned to Vickie Joann Carll?
The Vickie Joann Carll was issued its 1710902176 on 2006-07-13, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Vickie Joann Carll's details last updated?
The information pertaining to the Vickie Joann Carll, including its address, specialty, and other details, was most recently updated on 2013-08-15.