Michael Dave Mcvicker in Mountain View - Family
Michael Dave Mcvicker - NPI 1023011343
Michael Dave Mcvicker is a Family in Mountain View, Missouri. Michael Dave Mcvicker practices all healthcare services and medical treatments related to Family. The NPI Number for Michael Dave Mcvicker is 1023011343. The last update date is 2020-04-06.
Michael Dave Mcvicker's current location address is Hc 67 Box 76, Mountain View, Missouri. You can contact this provider via phone number 4179345055. The mailing address for Michael Dave Mcvicker is Hc 67 Box 76, Mountain View, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael Dave Mcvicker |
|---|---|
| Address | Hc 67 Box 76, Mountain View, Missouri |
| Phone Number | 4179345055 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | FNP-BC |
NPI Number Detail
| NPI Number | 1023011343 |
|---|---|
| Provider Enumeration Date | 2005-05-31 |
| Last Updated Date | 2020-04-06 |
Provider Mailing Address Detail
| Address | Hc 67 Box 76 |
|---|---|
| City | Mountain View |
| State | Missouri (MO) |
| Post Code | 6554890050 |
| Phone Number | 4179345055 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | RN120320 |
|
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 424886307 | MO | -- |
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What is the Michael Dave Mcvicker's unique identification number?
The Michael Dave Mcvicker has been assigned the NPI (National Provider Identifier) Number 1023011343 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Michael Dave Mcvicker located?
The Michael Dave Mcvicker is located at Hc 67 Box 76, Mountain View, MO 6554890050.
What is Michael Dave Mcvicker's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Michael Dave Mcvicker's specialized field of practice is Family, and the corresponding taxonomy code that categorizes this area of specialization is 363Lf0000X.
On what date did the Michael Dave Mcvicker receive the assignment of its 1023011343 from the Centers for Medicare & Medicaid Services?
The Michael Dave Mcvicker was issued its 1023011343 by the Centers for Medicare & Medicaid Services on 2005-05-31.
When was the information pertaining to Michael Dave Mcvicker most recently updated or revised?
The details related to Michael Dave Mcvicker, including its address, specialty, and other relevant information, were last updated or revised on 2020-04-06.