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NPI Code Detail

MEDICARE: VICKIE COLBERT

MEDICARE: VICKIE COLBERT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1164W00000XLicensed Practical NursePN147805OH

General Provider Information

NPI Number : 1548653314
Entity Type Code : Individual
Provider Name (Legal Business Name) : VICKIE COLBERT
Provider Business Mailing Address
First Line : 7855 GLENORCHARD DR
Second Line : APT B
City : CINCINNATI
State : OH
Zip : 45237-1001
Country : US
Telephone Number : 513-815-9987
Fax Number :
Provider Business Practice Location Address
First Line : 7855 GLENORCHARD DR
Second Line : APT B
City : CINCINNATI
State : OH
Zip : 45237-1001
Country : US
Telephone Number : 513-815-9987
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/18/2015
Last Update Date : 03/18/2015

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Directions to “ VICKIE COLBERT ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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