Individual ProviderVicki S WettigNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address2112 Harrisburg Pike, Ste 202, Lancaster, PA 17601-2644(717) 544-3500PECOS EnrollmentBased on the most recent information from CMS, provider Vicki S Wettig does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1922005784Provider TypeIndividualFull NameWettig, Vicki SCredentialCRNPGenderFemaleSole ProprietorNoEnumeration Date7/7/2005Last Updated11/14/2011Contact InformationPractice LocationPractice Address2112 Harrisburg Pike, Ste 202, Lancaster, PA 17601-2644Phone(717) 544-3500Fax(717) 544-3501Mailing LocationMailing Address2112 Harrisburg Pike, Ste 202, Lancaster, PA 17601-2644Phone(717) 544-3500Fax(717) 544-3501Provider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseVP005031BPennsylvaniaProvider IdentifiersIDDescriptionIssuerID7399164DescriptionMedicaidIssuerUnlistedPennsylvaniaID100012158DescriptionOtherIssuerRAILROAD MEDICARE