Provider Demographics
NPI:1639159353
Name:ARMSTRONG, VICKIE LYNN (NP)
Entity Type:Individual
Prefix:
First Name:VICKIE
Middle Name:LYNN
Last Name:ARMSTRONG
Suffix:
Gender:F
Credentials:NP
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Mailing Address - Street 1:856 J CLYDE MORRIS BLVD
Mailing Address - Street 2:SUITE A
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23601-1318
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1000 OLD DENBIGH BLVD
Practice Address - Street 2:SUITE 1020A
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23602-2017
Practice Address - Country:US
Practice Address - Phone:757-875-2050
Practice Address - Fax:757-875-2070
Is Sole Proprietor?:No
Enumeration Date:2006-01-19
Last Update Date:2014-04-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0024166161363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
Provider Identifiers
StateIdentifier IDID TypeIssuer
Q36825Medicare UPIN
VA1639159353Medicaid
VAVAA101847Medicare PIN
VAP00854873Medicare PIN