Marta Vickers Valid NPI
Individual provider · Family Nurse Practitioner · Fort Detrick, MD
- NPI
- 1760460968
- Type
- Individual (Type 1)
- Primary specialty
- Family Nurse Practitioner (Nurse Practitioner)
- Specialty group
- Physician Assistants & Advanced Practice Nursing Providers
- Taxonomy code
- 363LF0000X
- License number
- R13197 (NM)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2006-01-06
- Last updated
- 2009-01-29
Practice location
1434 Porter St
Fort Detrick, MD 21702-9210
(301) 619-4820