Whalio Doctors

NPI 1154816965

Vicki Lynn Gates

Practitioner Registered Nurse Portage, MI

Practice location

Address
524 W Centre Ave, Portage, MI 49024-5306
Phone
(269) 324-1180
Mailing address
5677 Old Mission St, Portage, MI 49024-1156

Registered specialties

Registered Nurse Primary
Nursing Service Providers Taxonomy 163W00000X Licence 4704278203 (MI)

Registry record

NPI
1154816965
Entity type
Individual
Sex (as registered)
Female
NPI issued
25 Jun 2018
Record last updated
25 Jun 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.