Provider Demographics
NPI:1881007086
Name:SENN, VICKI (CRNP)
Entity type:Individual
Prefix:MRS
First Name:VICKI
Middle Name:
Last Name:SENN
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1800 US HIGHWAY 84 W
Mailing Address - Street 2:
Mailing Address - City:OPP
Mailing Address - State:AL
Mailing Address - Zip Code:36467-3520
Mailing Address - Country:US
Mailing Address - Phone:334-493-4357
Mailing Address - Fax:334-222-3825
Practice Address - Street 1:1800 US HIGHWAY 84 W
Practice Address - Street 2:
Practice Address - City:OPP
Practice Address - State:AL
Practice Address - Zip Code:36467-3520
Practice Address - Country:US
Practice Address - Phone:334-493-4357
Practice Address - Fax:334-222-3825
Is Sole Proprietor?:No
Enumeration Date:2014-06-04
Last Update Date:2014-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-066454363LF0000X
AL1066454363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily