Provider Demographics
NPI:1639272610
Name:CHEE, VICKY J (PA C)
Entity Type:Individual
Prefix:
First Name:VICKY
Middle Name:J
Last Name:CHEE
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Gender:F
Credentials:PA C
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Mailing Address - Street 1:933 BRADBURY DR SE
Mailing Address - Street 2:STE 1134
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87106-4375
Mailing Address - Country:US
Mailing Address - Phone:505-552-5447
Mailing Address - Fax:505-552-5490
Practice Address - Street 1:EXIT 102 OFF I40 1/2 MILE SOUTH
Practice Address - Street 2:ACOMA CANONCITO LAGURA HOSPITAL
Practice Address - City:SAN FIDEL
Practice Address - State:NM
Practice Address - Zip Code:87049
Practice Address - Country:US
Practice Address - Phone:505-552-5447
Practice Address - Fax:505-552-5490
Is Sole Proprietor?:No
Enumeration Date:2006-09-06
Last Update Date:2023-06-08
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Provider Licenses
StateLicense IDTaxonomies
NMPA2002 0004363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NMH3451Medicaid
NMH3451Medicaid
PHS000Medicare UPIN