DR. Nathan Vicknair, STUDENT is a student in an organized health care education training program in Pueblo, CO. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. DR. Nathan Vicknair, STUDENT NPI is 1376171298. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
400 W 16TH ST
PUEBLO, CO
ZIP 81003-745
Phone: (719) 584-4000
The NPI 1376171298 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.
The enumeration date for this NPI number is 3/27/2020 and was last updated on 9/20/2023.