Provider Demographics
NPI:1861449332
Name:LONGFIELD, VIKI SUE (CNS,AOCN)
Entity Type:Individual
Prefix:MS
First Name:VIKI
Middle Name:SUE
Last Name:LONGFIELD
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Gender:F
Credentials:CNS,AOCN
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Mailing Address - Street 1:670 MASON RIDGE CENTER DR
Mailing Address - Street 2:STE 300
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63141-8573
Mailing Address - Country:US
Mailing Address - Phone:636-916-9920
Mailing Address - Fax:636-916-9945
Practice Address - Street 1:150 ENTRANCE WAY
Practice Address - Street 2:
Practice Address - City:SAINT PETERS
Practice Address - State:MO
Practice Address - Zip Code:63376-1645
Practice Address - Country:US
Practice Address - Phone:636-916-9920
Practice Address - Fax:636-916-9945
Is Sole Proprietor?:No
Enumeration Date:2006-05-28
Last Update Date:2013-02-04
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Provider Licenses
StateLicense IDTaxonomies
MO061952364SX0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SX0200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistOncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MOPENDINGMedicare UPIN