Individual provider · Type 1 NPI

Ardennes Drew Vickery

Student in an Organized Health Care Education/Training Program · Campbell, CA

NPI number 1043935141 Active

Practice location

251 Llewellyn Ave
Campbell, CA 95008-1940

Call (669) 282-2780 Map

Mailing address

900 Pepper Tree Ln Apt 9108
Santa Clara, CA 95051-5273

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1043935141

Ardennes Drew Vickery's National Provider Identifier is 1043935141, issued on Oct 11, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Campbell, CA. The record was last updated on Oct 11, 2022.