Individual
MAGGIE ANN VISKNISKKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8002 KING HELIE BLVD, NEW PORT RICHEY, FL 34653-1435
(727) 841-4430
Mailing address
10918 SUMMERTON DR, RIVERVIEW, FL 33579-7161
(813) 770-7511
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
9331879
FL
Other
Enumeration date
08/18/2014
Last updated
08/18/2014
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