Vicki Lynn Balchikonis, LPN
Individual provider Active NPI Licensed Practical Nurse · Montrose, PA
NPI 1780178566 · NPPES record last updated Jun 15, 2018
Key facts
- NPI
- 1780178566
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 246305-1 (NY)
- Practice address
- 2954 North Rd
Montrose, PA 18801-9595 - Phone
- (570) 278-4157
- NPI assigned
- Jun 15, 2018
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 246305-1 | NY | MD | Licensed Practical Nurse |
| PN268756 | PA | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | PN268756 | PA | |
| Licensed Practical Nurse | 164W00000X | 246305-1 | NY | Yes |
Addresses
Primary practice location
2954 North Rd
Montrose, PA 18801-9595
Mailing address
2954 North Rd
Montrose, PA 18801-9595
Phone (570) 278-4157
Other providers in Montrose, PA
- Taylor Jane Alderson
- Jillian Lee Ambrose
- Dorothy Jean Anthony
- At Home Quality Care
- B-K Health Center, Inc
- Mel R Barvinchak
- Mary E Battaglini
- Binghamton Optical Inc
- Charmarie Vandermark Bisel
- Amanda D. Boatman
All providers in Montrose, PA · Licensed Practical Nurse in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 15, 2018. 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.