Walters-Nunn, Vickie Renea

Walters-Nunn, Vickie Renea is an individual health care provider with primary practice located at 10150 Highland Manor Dr , Tampa FL 33610-9713. She recently has only one registered license in Other Service Providers / Health Educator, which is considered as her primary health care specialty. Walters-Nunn, Vickie Renea can be contacted via phone (813) 361-2138.

Contact Information

Primary practice address
10150 Highland Manor Dr Tampa FL 33610-9713
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Health Educator 174H00000X

Profile Details

NPI number 1205347184
LBN Legal business name Walters-Nunn, Vickie Renea
Credentials LIFESTYLE COACH
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2017
Last updated Jul 21st, 2022 - about 4 years ago

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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Identifiers

StateTypeNumberIssuer
All States NPI 1205347184 NPPES
Other 999 NONE
MEDICAID 999 NONE
Other 999 NONE

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