# MS. DEBRA K. VIVATSON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1720355233
- **Gender:** F
- **Credential:** MSN ACNP-C

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2100X | Acute Care Nurse Practitioner | R22555 | ND | Yes |

## Other

- **Enumeration date:** 11/29/2011
- **Last updated:** 10/11/2012