MANDRA JEAN VICKROY
NPI 1982952461
Student in an Organized Health Care Education/Training Program in Canton, OH

Q: What is Mandra Vickroy's NPI number?

The NPI number for Mandra Vickroy is 1982952461. It was assigned to this individual provider in the NPPES registry on August 15, 2012.

Q: What is Mandra Vickroy's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Mandra Vickroy was last updated on August 15, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 15, 2012

4641 FULTON DRIVE NORTH WEST, CANTON, OH 44718(330) 433-6075 Get Directions Write a Review

NPPES record last updated: August 15, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mandra Jean Vickroy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MANDRA JEAN VICKROY (NPI 1982952461) is an individual student in an organized health care education/training program in Canton, Ohio, licensed in Ohio (TC850408) and active in the NPI registry since August 2012.

NPPES Registry Identity

NPI1982952461

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameMANDRA JEAN VICKROY

Location Address4641 FULTON DRIVE NORTH WESTCanton, OH 44718

Mailing Address4641 Fulton Drive North WestCanton, OH 44718

Phone(330) 433-6075

Sole ProprietorNo

Enumeration DateAugust 15, 2012

✔ NPI 1982952461 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

License✔ Licensed in OH · TC850408

Definition

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.

4641 FULTON DRIVE NORTH WEST, Canton, OH 44718

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mandra Vickroy's NPI number?

The NPI number for Mandra Vickroy is 1982952461. It was assigned to this individual provider in the NPPES registry on August 15, 2012.

Where is Mandra Vickroy located?

Mandra Vickroy practices at 4641 Fulton Drive North West, Canton, OH 44718. The listed phone number is (330) 433-6075.

What is Mandra Vickroy's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Mandra Vickroy was last updated on August 15, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.