Endres, Vicki Lynn

Endres, Vicki Lynn is an sole proprietor health care provider with primary practice located at 6101 Lake Ellenor Dr , Orlando FL 32809-4616. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Endres, Vicki Lynn can be contacted via phone (407) 858-1400.

Contact Information

Primary practice address
6101 Lake Ellenor Dr Orlando FL 32809-4616
Phone: (407) 858-1400
Fax: (407) 858-5519
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 23563 West Virginia
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 116 West Virginia
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 9360329 Florida

Profile Details

NPI number 1588643266
LBN Legal business name Endres, Vicki Lynn
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 11th, 2006
Last updated Feb 26th, 2018 - about 7 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 1588643266 NPPES
West Virginia Other 7498050 AETNA
West Virginia MEDICAID 9450012000 AETNA
West Virginia Other 001721059 AETNA

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