Moceo, Vicki Ann
Moceo, Vicki Ann is an individual health care provider with primary practice located at 805 N Dickinson Drive , Rusk TX 75785. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Moceo, Vicki Ann can be contacted via phone (903) 683-7201.Contact Information
Primary practice address
805 N Dickinson Drive
Rusk TX 75785
Phone: (903) 683-7201
Fax: (903) 683-7199
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 559374 | Texas |
Profile Details
| NPI number | 1376882605 |
|---|---|
| LBN Legal business name | Moceo, Vicki Ann |
| Credentials | PMHNP-BC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 6th, 2013 |
| Last updated | Feb 6th, 2013 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376882605 | NPPES |
| Texas | Other | 559374 | LICENSE |
| Texas | Other | 00000238225 | LICENSE |
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