Individual provider · Type 1 NPI
Quade Vickers
Family Nurse Practitioner · Springfield, MO
NPI number
1477178564
Active
Practice location
3801 S National Ave
Springfield, MO 65807-5210
Mailing address
PO Box 9007
Springfield, MO 65808-9007
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | F06200928 (MO) |
Family Nurse Practitioner: Definition to come...
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About NPI 1477178564
Quade Vickers's National Provider Identifier is 1477178564, issued on Jun 15, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Springfield, MO. The record was last updated on Jun 15, 2020.