Vickery, Paula

Vickery, Paula is an sole proprietor health care provider with primary practice located at 1251 Kilauea Ave Ste 190C , Hilo HI 96720-4293. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Psychiatric/Mental Health, Adult, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Vickery, Paula can be contacted via phone (808) 961-1000.

Contact Information

Primary practice address
1251 Kilauea Ave Ste 190C Hilo HI 96720-4293
Phone: (808) 961-1000
Fax: (808) 961-1000
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health, Adult 163WP0809X RN - 40545 Hawaii
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X APRN - 742 Hawaii

Profile Details

NPI number 1013083211
LBN Legal business name Vickery, Paula
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 28th, 2006
Last updated Dec 3rd, 2014 - about 10 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 1013083211 NPPES
Hawaii Other 0000247171 HMSA
Hawaii MEDICAID 0000551798 HMSA

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