Provider Demographics
NPI:1821765264
Name:VIKKI VAIANI CNS-ANP BC PLLC
Entity Type:Organization
Organization Name:VIKKI VAIANI CNS-ANP BC PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VIKKI
Authorized Official - Middle Name:
Authorized Official - Last Name:VAIANI
Authorized Official - Suffix:
Authorized Official - Credentials:CNS-ANP BC
Authorized Official - Phone:210-844-0538
Mailing Address - Street 1:24165 IH 10 W STE 217-743
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78257-1449
Mailing Address - Country:US
Mailing Address - Phone:210-844-0538
Mailing Address - Fax:210-934-2058
Practice Address - Street 1:12952 BANDERA RD STE 105
Practice Address - Street 2:
Practice Address - City:HELOTES
Practice Address - State:TX
Practice Address - Zip Code:78023-4690
Practice Address - Country:US
Practice Address - Phone:210-844-0538
Practice Address - Fax:210-934-2058
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-24
Last Update Date:2021-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty