Individual provider · Type 1 NPI
Ashley Catherine Vicknair, CPNP
Pediatric Nurse Practitioner · Wimberley, TX
NPI number
1083924534
Active
Practice location
180 Joe Wimberley Blvd Ste 102
Wimberley, TX 78676-6083
Mailing address
2601 Bolton St
Austin, TX 78748-3929
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 691127 (TX) |
Pediatric Nurse Practitioner: Definition to come...
About NPI 1083924534
Ashley Catherine Vicknair, CPNP's National Provider Identifier is 1083924534, issued on Oct 18, 2010. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Wimberley, TX. The record was last updated on Oct 18, 2010.