Individual provider · Type 1 NPI
Assunta Maria Vickers, RN, PHN
Child & Adolescent Psychiatric/Mental Health Registered Nurse · San Bernardino, CA
NPI number
1083837264
Active
Practice location
164 W Hospitality Ln Ste 3
San Bernardino, CA 92408-3328
Mailing address
2519 Cloudcrest Way
Riverside, CA 92507-3027
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Registered Nurse | 163WA0400X | 333687 (CA) |
| Case Management Registered Nurse | 163WC0400X | 333687 (CA) |
| Community Health Registered Nurse | 163WC1500X | 333687 (CA) |
| Home Health Registered Nurse | 163WH0200X | 333687 (CA) |
| Infusion Therapy Registered Nurse | 163WI0500X | 333687 (CA) |
| Maternal Newborn Registered Nurse | 163WM0102X | 333687 (CA) |
| Low-Risk Neonatal Registered Nurse | 163WN0003X | 33687 (CA) |
| Pediatric Registered Nurse | 163WP0200X | 33687 (CA) |
| Child & Adolescent Psychiatric/Mental Health Registered Nurse Primary | 163WP0807X | 33687 (CA) |
Child & Adolescent Psychiatric/Mental Health Registered Nurse: Definition to come...
Another provider at this address
About NPI 1083837264
Assunta Maria Vickers, RN, PHN's National Provider Identifier is 1083837264, issued on Apr 10, 2007. The primary taxonomy on file is Child & Adolescent Psychiatric/Mental Health Registered Nurse (163WP0807X), and the practice location is in San Bernardino, CA. The record was last updated on Sep 11, 2025.