CHAD RANDAL VICKERS

SAINT PAUL, MN
NPI1780753681
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner Psychiatric/Mental Health
(Licence: MN  6371)
Additional Taxonomies363LF0000X Nurse Practitioner Family
(Licence: TX  706002)
363LP0808X Nurse Practitioner Psychiatric/Mental Health
(Licence: TX  706002)
363LP0808X Nurse Practitioner Psychiatric/Mental Health
(Licence: DE  L8-0000171)
Enumeration Date2006-11-06
Last Update Date2020-04-22
Business Address
CHAD RANDAL VICKERS PMHNP
135 COLORADO STREET EAST
SAINT PAUL, MN 55107
Phone number: 651-489-7740
Mailing Address
CHAD RANDAL VICKERS PMHNP
135 COLORADO STREET EAST
SAINT PAUL, MN 55107
Phone number: 651-489-7740