Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Katie Vicklun

Individual provider Family Nurse Practitioner · NPI 1962185405

Katie Vicklun is a Family Nurse Practitioner in Long Beach, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2023

Practice location Address checks out

200 Oceangate Ste 100
Long Beach, CA 90802-4317
Phone: (562) 499-6191
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 95026753 (CA)

Record details

NPI number1962185405
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 10, 2023
Last updated in NPPESSeptember 15, 2025
Certification dateSeptember 15, 2025

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