Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY VANVICKLE
ActiveKELLY VANVICKLE is a Women's Health Nurse Practitioner healthcare provider located in STAPLES, Minnesota. NPI 1013332105 is currently active in the NPPES registry. Verify at CMS.
Women's Health Nurse Practitioner · STAPLES, MN
Registration Details
- NPI Number
- 1013332105
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 26, 2014 (12.441775388408 yrs)
- Last Updated
- Sep 15, 2021
- License
-
R147459-6 (MN)
Practice Information
- Address
-
49725 COUNTY 83STAPLES, MN, 564795280Browse MN providers · Browse ZIP 56479
- Phone
- 2188941515
- Primary Specialty
-
Women's Health Nurse Practitioner
363LW0102X
Other Women's Health Nurse Practitioner Providers in STAPLES, MN
| Name | Credential | NPI |
|---|---|---|
| MATTIE ROSE ELLENSON | APRN, CNP | 1316579337 |
| LEANN PETTOW | APRN | 1801583190 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.