Provider Demographics
NPI:1164902532
Name:MAYS, VICKIE JEAN (APRN)
Entity Type:Individual
Prefix:MRS
First Name:VICKIE
Middle Name:JEAN
Last Name:MAYS
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:MISS
Other - First Name:VICKIE
Other - Middle Name:JEAN
Other - Last Name:SEPTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4315 DIPLOMACY DR
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99508-5926
Mailing Address - Country:US
Mailing Address - Phone:907-729-1378
Mailing Address - Fax:907-729-1377
Practice Address - Street 1:4315 DIPLOMACY DR
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99508-5926
Practice Address - Country:US
Practice Address - Phone:907-729-1378
Practice Address - Fax:907-729-1377
Is Sole Proprietor?:No
Enumeration Date:2018-08-15
Last Update Date:2018-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AKNURU1494364SA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SA2200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistAdult Health