Individual
MRS. VIVIENNE MARIE TREHARNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4259 FOUR OAKS BLVD, TALLAHASSEE, FL 32311-3654
(850) 933-2709
Mailing address
4259 FOUR OAKS BLVD, TALLAHASSEE, FL 32311-3654
(850) 933-2709
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1326612
FL
163WC0400X
Case Management Registered Nurse
1326612
FL
163WC1500X
Community Health Registered Nurse
RN1326612
FL
163WC1600X
Continuing Education/Staff Development Registered Nurse
1326612
FL
163WG0000X
General Practice Registered Nurse
RN1326612
FL
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
Primary
1326612
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN1326612
RN LICENSE
FL
Enumeration date
10/22/2007
Last updated
01/03/2022
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