Individual
VIVIAN L COLONT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN APRN NURSE PRACTI
Contact information
Practice address
414 GREENBELT DRIVE, MARYVILLE PEDIATRIC GROUP, MARYVILLE, TN 37804
(865) 982-0032
(865) 983-4172
Mailing address
414 GREENBELT DRIVE, MARYVILLE, TN 37804
(865) 982-0032
(865) 983-4172
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN89370
TN
Other
Enumeration date
09/13/2006
Last updated
07/08/2007
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