Whalio Doctors

NPI 1285121251

Vickie Ranay Gardner, LPN

Practitioner Licensed Practical Nurse Vinita, OK

Practice location

Address
405 E Excelsior Ave, Vinita, OK 74301-4226
Phone
(918) 256-6476
Fax
(918) 256-3628

Registered specialties

Licensed Practical Nurse Primary
Nursing Service Providers Taxonomy 164W00000X Licence L0051033 (OK)

Registry record

NPI
1285121251
Entity type
Individual
Sex (as registered)
Female
NPI issued
16 Apr 2018
Record last updated
16 Apr 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.