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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

VICKI DOUGLAS

Active Sole Proprietor

VICKI DOUGLAS is a Community Health Worker healthcare provider located in IVYDALE, West Virginia. NPI 1487233227 is currently active in the NPPES registry. Verify at CMS.

Community Health Worker · IVYDALE, WV

Registration Details

NPI Number
1487233227
Provider Type
Individual
Gender
Female
NPI Issued
Apr 7, 2021 (5.3734753758888 yrs)
Last Updated
Apr 7, 2021
Sole Proprietor
Yes

Practice Information

Address
761 SUNFLOWER LANE
IVYDALE, WV, 25113
Browse WV providers · Browse ZIP 25113
Phone
3042865622
Primary Specialty
Community Health Worker
172V00000X

Other Community Health Worker Providers in IVYDALE, WV

Name Credential NPI
CONNIE NEAL 1205429370
MELISSA COTTRELL 1770176752
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.