Individual provider · Type 1 NPI

Vicki Lynn Shively, R.N., PHN

Case Management Registered Nurse · Willows, CA

NPI number 1629127246 Active

About NPI 1629127246

Vicki Lynn Shively, R.N., PHN's National Provider Identifier is 1629127246, issued on Jan 10, 2007. The primary taxonomy on file is Case Management Registered Nurse (163WC0400X), and the practice location is in Willows, CA. The record was last updated on Sep 11, 2025.