Most Relevant Information
Provider Data
| NPI Number: | 1003683046 |
| Provider Name: | VICKI EDISON |
| Entity Type: | Individual |
| Taxonomy Code: | 164W00000X |
| Specialty: | Licensed Practical Nurse |
| License Number: | LPN09579 |
Most Important Dates
| Enumeration Date: | 12/11/2023 |
| Last Updated: | 12/11/2023 |
Provider Practice Location
4423 W FLAMINGO RD
LAS VEGAS
NV
891033703
Practice Location Phone/Fax
| Phone: | 7024581137 |
| Fax: | 7024581423 |
Provider Mailing Location
1101 N RAINBOW BLVD APT 44
LAS VEGAS
NV
891086847
Provider Mailing Phone/Fax
| Phone: | 7027681516 |
| Fax: |