person
Chad Randal Vickers, PMHNP
Psychiatric/Mental Health Nurse Practitioner in Saint Paul, Minnesota
NPI 1780753681

Chad Randal Vickers is a Psychiatric/Mental Health Nurse Practitioner based in Saint Paul, MN and is specialized in Psychiatric/Mental Health. Chad Randal Vickers practices in Saint Paul, MN and has the professional credentials of PMHNP. The NPI Number for Chad Randal Vickers is 1780753681 and holds a License No. 706002 (Minnesota).

The current practice location address for Chad Randal Vickers is 135 Colorado Street East, Saint Paul, MN and can be reached out via phone at 651-489-7740 and via fax at 651-489-6458.

Location: 135 Colorado Street East, Saint Paul, MN, 55107
person
Provider Profile Details
NPI Number
1780753681
Provider Name
Chad Randal Vickers
Credential
PMHNP
Provider Entity Type
Individual
Gender
Male
Address
135 Colorado Street East, Saint Paul, MN, 55107
Phone Number
651-489-7740
Fax Number
651-489-6458
Provider Enumeration Date
11/06/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200101760A 05 OK
P01078815 01 TX RAILROAD MEDICARE
1780753681 05 MN
182997003 05 TX
868N62 01 TX BCBS
182997001 05 TX
institution
Provider Business Practice Location Address Details
Address
135 Colorado Street East
City
State
Zip
55107
Phone Number
651-489-7740
Fax Number
651-489-6458
person
Provider Business Mailing Address Details
Address
135 Colorado Street East
City
State
Zip
55107
Phone Number
651-489-7740
Fax Number
651-489-6458
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
706002 (Texas)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
706002 (Texas)
Definition
Definition to come...
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