Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KATIE VICKLUN
Active Sole ProprietorKATIE VICKLUN is a Family Nurse Practitioner healthcare provider located in LONG BEACH, California. NPI 1962185405 is currently active in the NPPES registry. Verify at CMS.
Family Nurse Practitioner · LONG BEACH, CA
Registration Details
- NPI Number
- 1962185405
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 10, 2023 (3.0338849033046 yrs)
- Last Updated
- Sep 15, 2025
- License
-
95026753 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
200 OCEANGATE STE 100LONG BEACH, CA, 908024317Browse CA providers · Browse ZIP 90802
- Phone
- 5624996191
- Primary Specialty
-
Family Nurse Practitioner
363LF0000X
Other Family Nurse Practitioner Providers in LONG BEACH, CA
| Name | Credential | NPI |
|---|---|---|
| ELIZABETH ORNELAS | NP | 1124027040 |
| MARIBEL CONCEPION MUNOZ | NP-C | 1497736193 |
| MR. LEE PETRARCA | RN, MSN, CEN, FNP-C | 1669454872 |
| MS. KAREN SETSUKO YAMADA | NP-C | 1285686972 |
| MS. SONIA R SABADO | MSN,NP | 1891749628 |
| ANJANETTE WHITMAN | NURSE PRACTITIONER | 1750323952 |
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.