Provider Demographics
NPI:1528374782
Name:SAUNDERS, VICKIE YVONNE (LPN)
Entity Type:Individual
Prefix:MRS
First Name:VICKIE
Middle Name:YVONNE
Last Name:SAUNDERS
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:127 W VINE ST
Mailing Address - Street 2:
Mailing Address - City:BRADFORD
Mailing Address - State:OH
Mailing Address - Zip Code:45308-1227
Mailing Address - Country:US
Mailing Address - Phone:937-214-2419
Mailing Address - Fax:
Practice Address - Street 1:127 W VINE ST
Practice Address - Street 2:
Practice Address - City:BRADFORD
Practice Address - State:OH
Practice Address - Zip Code:45308-1227
Practice Address - Country:US
Practice Address - Phone:937-214-2419
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-26
Last Update Date:2010-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOH069860164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse