Provider Demographics
NPI:1306010327
Name:LOVRIEN, VICKI MARIE (PERSONAL CARE AIDE)
Entity Type:Individual
Prefix:MRS
First Name:VICKI
Middle Name:MARIE
Last Name:LOVRIEN
Suffix:
Gender:F
Credentials:PERSONAL CARE AIDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 24
Mailing Address - Street 2:
Mailing Address - City:CHERRY VALLEY
Mailing Address - State:AR
Mailing Address - Zip Code:72324-0024
Mailing Address - Country:US
Mailing Address - Phone:870-578-2273
Mailing Address - Fax:870-578-2274
Practice Address - Street 1:267 HIGHWAY 1
Practice Address - Street 2:
Practice Address - City:CHERRY VALLEY
Practice Address - State:AR
Practice Address - Zip Code:72324-8719
Practice Address - Country:US
Practice Address - Phone:870-578-2273
Practice Address - Fax:870-578-2274
Is Sole Proprietor?:No
Enumeration Date:2008-04-22
Last Update Date:2009-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR374U00000X, 376K00000X
3747A0650X, 3747P1801X, 376J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
No376K00000XNursing Service Related ProvidersNurse's Aide
No3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
No376J00000XNursing Service Related ProvidersHomemaker
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR168535757Medicaid
AR168536752Medicaid