Smith, Vicki Risko
Smith, Vicki Risko is an sole proprietor health care provider with primary practice located at 1223 Gateway Dr Ste 1A , Melbourne FL 32901-2607. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Smith, Vicki Risko can be contacted via phone (321) 434-6712.Contact Information
Primary practice address
1223 Gateway Dr Ste 1A
Melbourne FL 32901-2607
Phone: (321) 434-6712
Fax: (321) 409-6812
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | ARNP9356774 | Florida |
Profile Details
| NPI number | 1528272929 |
|---|---|
| LBN Legal business name | Smith, Vicki Risko |
| Credentials | Advanced Practice Registered Nurse (APRN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 9th, 2007 |
| Last updated | Mar 16th, 2020 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1528272929 | NPPES |
| Florida | MEDICAID | 010373100 | |
| Florida | Other | HF994W |
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