Individual provider · Type 1 NPI

Vicki M. Kuclo, NP

Nurse Practitioner · Royal Oak, MI

NPI number 1689001158 Active

Practice location

3601 W 13 Mile Rd, William Beaumont Hospital
Royal Oak, MI 48073-6712

Mailing address

26901 Beaumont Blvd Ste 3D
Southfield, MI 48033-3849

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner 363LA2100X4704251687 (MI)
Nurse Practitioner Primary 363L00000X4704251687 (MI)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1689001158

Vicki M. Kuclo, NP's National Provider Identifier is 1689001158, issued on Sep 30, 2013. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Royal Oak, MI. The record was last updated on Jul 20, 2022.