Vivian D Chance Arnp Llc

NPI 1770995565 - Nurse Practitioner - 363LF0000X

NPI Details
NPI 1770995565
Enumeration Date 05/28/2014
Last Updated 05/28/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name VIVIAN D VIVIAN
Position OWNER/SOLE MEMBER
Phone (712) 563-4206
Fax
Practice Location
222 BROADWAY ST
AUDUBON IA, 50025-1103, US
Phone (712) 563-4206
Fax
Business Location
222 BROADWAY ST
AUDUBON IA, 50025-1103, US
Phone (712) 563-4206
Fax
Toxanomy
Taxonomy Code 363LF0000X
License State Iowa
License Number A078156
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According to our database, Vivian D Chance Arnp Llc NPI is 1770995565, taxonomy code is 363LF0000X and license number is A078156, license state is located at Iowa. Vivian D Chance Arnp Llc physically located at 222 Broadway St, Audubon IA, 50025-1103. NPI Number 1033115704 has the healthcare provider type.

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1770995565 NPI number is provided on an as is basis without warranty of any kind. 1770995565 is maintained by the National Plan & Provider Enumeration System. The contents of Vivian D Chance Arnp Llc are for informational purposes only.