Healthcare Provider Details

I. General information

NPI: 1255241568
Provider Name (Legal Business Name): VICKIE JEAN TROYER PHRDH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/09/2026
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1800 SYRACUSE AVE
NORFOLK NE
68701-2458
US

IV. Provider business mailing address

814 RIVER RD
BEEMER NE
68716-4008
US

V. Phone/Fax

Practice location:
  • Phone: 402-371-8780
  • Fax:
Mailing address:
  • Phone: 402-371-8780
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code124Q00000X
TaxonomyDental Hygienist
License Number1178
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: