KATIE VICKLUN
Nurse Practitioner - Family
Active
Individual
NPI: 1962185405
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Nurse Practitioner - Family | 363LF0000X | Yes | 95026753 (CA) |
Frequently Asked Questions
NPI 1962185405 is the National Provider Identifier for KATIE VICKLUN, a Nurse Practitioner - Family provider located in Long Beach, CA. This NPI was enumerated on August 10, 2023.
KATIE VICKLUN practices at 200 OCEANGATE STE 100, Long Beach, CA 90802.
Quick Facts
- NPI
- 1962185405
- Type
- Individual
- Enumerated
- Aug 10, 2023
- Last Updated
- Sep 15, 2025
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