Basic Information
Provider Information
NPI: 1730153685
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: RIGSBY
FirstName: VICKI
MiddleName: R
NamePrefix:  
NameSuffix:  
Credential: APRN
OtherOrganizationName:  
OtherOrganizationType:  
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Mailing Information
Address1: PO BOX 766351
Address2:  
City: CHICAGO
State: IL
PostalCode: 606776351
CountryCode: US
TelephoneNumber: 5025889490
FaxNumber: 5022725114
Practice Location
Address1: 3118 E 10TH ST
Address2: SUITE B
City: JEFFERSONVILLE
State: IN
PostalCode: 471305904
CountryCode: US
TelephoneNumber: 8122826979
FaxNumber: 8122826998
Other Information
ProviderEnumerationDate: 02/16/2006
LastUpdateDate: 04/13/2017
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
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IsSoleProprietor: N
IsOrganizationSubpart:  
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AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
364SF0001X28108176AINN Physician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistFamily Health
363LF0000X3003905INY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

No ID Information.


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