Individual provider · Type 1 NPI

Vickie Suzanne Sidwa, APN, C.

Adult Health Nurse Practitioner · Forked River, NJ

NPI number 1912088972 Active

Practice location

1043 Montauk Dr
Forked River, NJ 08731-2004

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200X26NN10119300 (NJ)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1912088972

Vickie Suzanne Sidwa, APN, C.'s National Provider Identifier is 1912088972, issued on Oct 18, 2006. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Forked River, NJ. The record was last updated on Jun 16, 2014.