Provider Demographics
NPI:1619850476
Name:GETTEL, VICKI
Entity type:Individual
Prefix:
First Name:VICKI
Middle Name:
Last Name:GETTEL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3412 WHEATLAND LN
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75025-3614
Mailing Address - Country:US
Mailing Address - Phone:972-898-0888
Mailing Address - Fax:
Practice Address - Street 1:3412 WHEATLAND LN
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75025-3614
Practice Address - Country:US
Practice Address - Phone:972-898-0888
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-29
Last Update Date:2025-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX244267163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant