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Provider Information for 1033295175


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Mrs. VICKIE ANN FRIZZELL PRATT LIMHP


Sex: Female

NPI: 1033295175
Last Updated: 2024-10-30
Certification Date: 2024-10-24

Details

NameValue
NPI1033295175
Enumeration Date2006-10-31
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 5512 CLOUDBURST LANE
LINCOLN, NE 68521
United States

Phone: 402-486-3113 | Fax:
 
Primary Practice Address 5512 CLOUDBURST LANE
LINCOLN, NE 68521-1065
United States

Phone: 402-486-3113 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
No 101YM0800X - Counselor - Mental HealthNE2167
Yes 101YP2500X - Counselor - ProfessionalNE25