Provider Demographics
NPI:1326180019
Name:JOYCE, VICKI J (RN)
Entity Type:Individual
Prefix:
First Name:VICKI
Middle Name:J
Last Name:JOYCE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:945 W 8TH ST
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85201-3902
Mailing Address - Country:US
Mailing Address - Phone:480-472-4433
Mailing Address - Fax:480-472-4509
Practice Address - Street 1:945 W 8TH ST
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85201-3902
Practice Address - Country:US
Practice Address - Phone:480-472-4433
Practice Address - Fax:480-472-4509
Is Sole Proprietor?:No
Enumeration Date:2007-02-12
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN063225163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ579865Medicaid