Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. VICKIE M PERSAUD
Deactivated Sole ProprietorMS. VICKIE M PERSAUD is a Community/Behavioral Health healthcare provider located in COLERAIN, North Carolina. NPI 1174042907 is deactivated in the NPPES registry. Verify at CMS.
Community/Behavioral Health · COLERAIN, NC
This NPI has been deactivated.
The record was deactivated on May 19, 2019.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1174042907
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 13, 2017 (1.6794520547945 yrs)
- Last Updated
- Mar 5, 2020
- Deactivated
- May 19, 2019
- Sole Proprietor
- Yes
Practice Information
- Address
-
605 THOMAS NELSON STREET,COLERAIN, NC, 279240134Browse NC providers · Browse ZIP 27924
- Phone
- 1252642534
- Fax
- 2526425300
- Primary Specialty
-
Community/Behavioral Health
251S00000X
- Additional Specialty
- Community/Behavioral Health
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.