Individual provider · Type 1 NPI

Geraldine Vickers, CRNP

Family Nurse Practitioner · Miramar, FL

NPI number 1194147512 Active

Practice location

3601 SW 160th Ave, Suite 250
Miramar, FL 33027-6308

Fax (855) 855-2792

Mailing address

2 Old Orchard Ln
Mountain Top, PA 18707-1741

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XSP007884 (PA)

Family Nurse Practitioner: Definition to come...

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About NPI 1194147512

Geraldine Vickers, CRNP's National Provider Identifier is 1194147512, issued on Jan 21, 2014. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Miramar, FL. The record was last updated on Dec 7, 2015.