Vickie Anderson, PMHNP
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Oro Valley, AZ
NPI 1265083802 · NPPES record last updated Aug 9, 2021
Key facts
- NPI
- 1265083802
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 250787 (AZ)
- Practice address
- 1846 E Innovation Park Dr
Oro Valley, AZ 85755-1963 - Phone
- (520) 771-0555
- Fax
- (262) 260-9109
- NPI assigned
- Sep 25, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 250787 | AZ | MD | Psychiatric/Mental Health Nurse Practitioner |
| AP142086 | TX | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valdez & Soto, LLC | Psychiatric/Mental Health | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AP142086 | TX | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 250787 | AZ | Yes |
Addresses
Primary practice location
1846 E Innovation Park Dr
Oro Valley, AZ 85755-1963
Mailing address
PO Box 2178
Wilsonville, OR 97070-2178
Phone (503) 678-5626
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AP142086 | Other | TX | NURSE PRACTITIONER |
Other providers in Oro Valley, AZ
- Darrell James Allen
- Marte Allen
- Allison Long LLC
- Tricia Alvarez
- Moriah Amaya
- Taylor Catherine Andrade
- Michael Frederick Angelo
- Ans Testing and Services of Arizona
- App of Southern Arizona HM LLC
- Cindy Arenas Nieves
All providers in Oro Valley, AZ · Psychiatric/Mental Health Nurse Practitioner in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 9, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.