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Contact Information

PAULA VICKERY, APRN
1251 KILAUEA AVE STE 190C
HILO, HI96720-4293
 Phone: 808-961-1000
 Fax: 808-961-1000
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatric/Mental Health

363LP0808X 50 Nurse Practitioner
 

Psychiatric/Mental Health, Adult

163WP0809X
Indicates primary specialty

NPI Profile & details for PAULA VICKERY · (Female)

NPI # 1013083211
Status Active
Credentials APRN (Advanced Practice Registered Nurse)
Entity Individual
Enumeration date 11/28/2006
Last updated 12/03/2014 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • HI License # APRN - 742
  • HI License # RN - 40545
  • HI Medicaid 0000551798
  • HI Other 0000247171 HMSA
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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