# MICHELLE VIVOAMORE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1689173866
- **Gender:** F
- **Credential:** CNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 083943-23 | NH | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | RN2313491 | MA | — |

## Other

- **Enumeration date:** 02/02/2018
- **Last updated:** 02/28/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 110153729A | — | MA |
| 05 | — | 3127474 | — | NH |
| 01 | — | HCP12151114807 | CLOZAPINE REMS PROGRAM | MA |