Vivian Enyo Dzata NP

NPI 1023245024 - Nurse Practitioner - 363LP0200X

NPI Details
NPI 1023245024
Gender Female
Enumeration Date 06/17/2009
Last Updated 12/23/2014
Entity Type Individual
Active Over 7 years ago
Practice Location
3401 CIVIC CENTER BLVD
PHILADELPHIA PA, 19104-4319, US
Phone (215) 590-3174
Fax (215) 590-3053
Business Location
3401 CIVIC CENTER BLVD
PHILADELPHIA PA, 19104-4319, US
Phone (215) 590-3174
Fax (215) 590-3053
Toxanomy
Taxonomy Code 363LP0200X
License State Pennsylvania
License Number SP011219
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According to our database, Vivian Enyo Dzata NP NPI is 1023245024, taxonomy code is 363LP0200X and license number is SP011219, license state is located at Pennsylvania. Vivian Enyo Dzata NP physically located at 3401 Civic Center Blvd, Philadelphia PA, 19104-4319. NPI Number Vivian Enyo Dzata NP has the Individual type.

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1023245024 NPI number is provided on an as is basis without warranty of any kind. 1023245024 is maintained by the National Plan & Provider Enumeration System. The contents of Vivian Enyo Dzata NP are for informational purposes only.