Vicky Suruky
Vicky Suruky is a Psychiatric/Mental Health Registered Nurse in Provo, Utah. Licensed in Utah. Registered with an NPI since 2019.
- Licensed in
- UT
- In the registry since
- 2019
- Specialties on file
- 2
Practice location Address checks out
4501 N University AveProvo, UT 84604-5504
Phone: (888) 676-7104
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Nurse Practitioner (primary) | Taxonomy 363LF0000X · Licence 8792215-4405 (UT) |
|---|---|
| Psychiatric/Mental Health Registered Nurse | Taxonomy 163WP0808X · Licence 8792215-3102 (UT) |
Record details
| NPI number | 1851934707 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | October 23, 2019 |
| Last updated in NPPES | August 29, 2023 |
| Certification date | August 29, 2023 |
| Mailing address | 4501 N University Ave, Provo, UT 84604-5504 |
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