Vickers, Taylor

Vickers, Taylor is an individual health care provider with primary practice located at 9850 W St Lukes Dr , Nampa ID 83687-7912. He recently has 3 registered licenses in different health care specialties including Emergency Medical Service Providers / Emergency Medical Technician, Basic, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Vickers, Taylor can be contacted via phone (208) 205-7282.

Contact Information

Primary practice address
9850 W St Lukes Dr Nampa ID 83687-7912
Phone: (208) 205-7282
Fax: (208) 205-7591
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Emergency Medical Service Providers / Emergency Medical Technician, Basic 146N00000X 745200 Texas
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA13966 Texas
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA13966 Texas
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 4161079 Idaho

Profile Details

NPI number 1164046702
LBN Legal business name Vickers, Taylor
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 29th, 2020
Last updated Jan 9th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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