Individual provider · Type 1 NPI

Beverly Burt Vicknair, RN

Hospice Registered Nurse · Denham Springs, LA

NPI number 1407006109 Active

Practice location

2550 Florida Blvd SW
Denham Springs, LA 70726-4951

Mailing address

12045 Homeport Dr
Maurepas, LA 70449-3043

Specialties and licenses

TaxonomyCodeLicense
Hospice Registered Nurse Primary 163WH1000XRN070442 (LA)

Hospice Registered Nurse: Definition to come...

2 other providers at this address

About NPI 1407006109

Beverly Burt Vicknair, RN's National Provider Identifier is 1407006109, issued on Sep 30, 2008. The primary taxonomy on file is Hospice Registered Nurse (163WH1000X), and the practice location is in Denham Springs, LA. The record was last updated on Sep 30, 2008.