NPI Profile for AMBER M VICARY in TREMONT, IL.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Family |
363LF0000X | 50 | Nurse Practitioner | |
Pediatrics |
163WP0200X |
| NPI # | 1902693963 |
|
| Status | Active | |
| Credentials | RN (Registered Nurse) | |
| Entity | Individual | |
| Enumeration date | 04/23/2025 | |
| Last updated | 09/04/2025 - About 9 months ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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AMBER M VICARY
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