Provider Demographics
NPI:1841782216
Name:SCHLEY CLIFFE, VICTORIA LYN
Entity Type:Individual
Prefix:
First Name:VICTORIA
Middle Name:LYN
Last Name:SCHLEY CLIFFE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2620 COUNTY ROAD 315
Mailing Address - Street 2:
Mailing Address - City:YOAKUM
Mailing Address - State:TX
Mailing Address - Zip Code:77995-6028
Mailing Address - Country:US
Mailing Address - Phone:361-491-0234
Mailing Address - Fax:
Practice Address - Street 1:2620 COUNTY ROAD 315
Practice Address - Street 2:
Practice Address - City:YOAKUM
Practice Address - State:TX
Practice Address - Zip Code:77995-6028
Practice Address - Country:US
Practice Address - Phone:361-491-0234
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-01
Last Update Date:2018-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX65982164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse