person
Vicky Suruky
Family Nurse Practitioner in Provo, Utah
NPI 1851934707

Vicky Suruky is a Family Nurse Practitioner based in Provo, UT and is specialized in Family. Vicky Suruky practices in Provo, UT. The NPI Number for Vicky Suruky is 1851934707 and holds a License No. 8792215-3102 (Utah).

The current practice location address for Vicky Suruky is 4501 N University Ave, Provo, UT and can be reached out via phone at 888-676-7104. You can also correspond with Vicky Suruky through the mailing address at 4501 N UNIVERSITY AVE, PROVO, UT - 84604-5504 (mailing address contact number: ).

Location: 4501 N University Ave, Provo, UT, 84604-5504
person
Provider Profile Details
NPI Number
1851934707
Provider Name
Vicky Suruky
Credential
Provider Entity Type
Individual
Gender
Female
Address
4501 N University Ave, Provo, UT, 84604-5504
Phone Number
888-676-7104
Fax Number
Provider Enumeration Date
10/23/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4501 N University Ave
City
State
Zip
84604-5504
Phone Number
888-676-7104
Fax Number
person
Provider Business Mailing Address Details
Address
4501 N University Ave
City
State
Zip
84604-5504
Phone Number
888-676-7104
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
8792215-4405 (Utah)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
8792215-3102 (Utah)
Definition
Definition to come...
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