| NPI | 1083644868 |
|---|---|
| Former Name | VICKIE ANN CAMPBELL AND FUSELIER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: LA RN056527) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: LA 793) |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2008-07-09 |