Individual provider · Type 1 NPI
Vicki Nicole Lary, CFNP
Family Nurse Practitioner · Itta Bena, MS
NPI number
1083788665
Active
Practice location
103 Basket St
Itta Bena, MS 38941-2801
Fax (662) 254-9173
Mailing address
2207 River Road Extended
Greenwood, MS 38930
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | R860262 (MS) |
Family Nurse Practitioner: Definition to come...
2 other providers at this address
Other family nurse practitioner providers in Itta Bena
About NPI 1083788665
Vicki Nicole Lary, CFNP's National Provider Identifier is 1083788665, issued on Nov 17, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Itta Bena, MS. The record was last updated on Mar 30, 2009.