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Contact Information

VICKY L FAIREY, RN,C
HIGHWAY J NORTH BOX 441
HAYTI, MO63851
 Phone: 573-359-2600
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatric/Mental Health

163WP0808X
 

Addiction (Substance Use Disorder)

163WA0400X
Indicates primary specialty

NPI Profile & details for VICKY L FAIREY · (Female)

NPI Number 1710006101
Status Active
Credentials RN,C
Entity Individual
Enumeration date 03/28/2007
Last updated 09/11/2025 - About 9 months ago
Sole proprietor 1 No
Identifiers
  • MO License # 142179
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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