Clous, Vickie

Clous, Vickie is an individual health care provider with primary practice located at 287 E Hunt Hwy Ste 105 , San Tan Valley AZ 85143-5096. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Clous, Vickie can be contacted via phone (480) 677-8282.

Contact Information

Primary practice address
287 E Hunt Hwy Ste 105 San Tan Valley AZ 85143-5096
Phone: (480) 677-8282
Fax: (480) 535-0962
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP2228 Arizona

Profile Details

NPI number 1588681324
LBN Legal business name Clous, Vickie
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2006
Last updated May 23rd, 2019 - about 5 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 1588681324 NPPES
Arizona MEDICAID 967995

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