Healthcare Provider Details

I. General information

NPI: 1093773061
Provider Name (Legal Business Name): VICKI LOUISE WILKEY NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: VICKI L MRAVCA-WILKEY NP

II. Dates (important events)

Enumeration Date: 05/01/2006
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2754 COMPASS DR STE 377
GRAND JUNCTION CO
81506-8723
US

IV. Provider business mailing address

2273 HOLY CROSS WAY
GRAND JUNCTION CO
81507-1325
US

V. Phone/Fax

Practice location:
  • Phone: 970-241-2212
  • Fax:
Mailing address:
  • Phone: 970-241-2212
  • Fax: 970-257-2401

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPN.1001400-NP
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: