Provider Demographics
NPI:1215063227
Name:PRESAS, VIKKI LARAE (WHNP)
Entity type:Individual
Prefix:MRS
First Name:VIKKI
Middle Name:LARAE
Last Name:PRESAS
Suffix:
Gender:F
Credentials:WHNP
Other - Prefix:
Other - First Name:VIKKI
Other - Middle Name:LARAE
Other - Last Name:PRESAS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RNC, WHNP
Mailing Address - Street 1:95 E PRICE RD
Mailing Address - Street 2:BLDG A
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78521-3531
Mailing Address - Country:US
Mailing Address - Phone:956-350-8788
Mailing Address - Fax:956-350-0009
Practice Address - Street 1:4970 NORTH EXPRESSWAY 77
Practice Address - Street 2:SUITE B
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78526
Practice Address - Country:US
Practice Address - Phone:956-350-8788
Practice Address - Fax:956-350-0009
Is Sole Proprietor?:No
Enumeration Date:2007-02-26
Last Update Date:2019-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX163WW0101X163WW0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WW0101XNursing Service ProvidersRegistered NurseWomen's Health Care, Ambulatory