Organization
SENIORELITE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIVIENNE ANN EVANS ARNP (PRESIDENT)
(813) 482-1743
Entity
Organization
Contact information
Practice address
14902 WINDING CREEK CT, STE 105C, TAMPA, FL 33613-1640
(813) 482-1743
Mailing address
14902 WINDING CREEK CT, STE 105C, TAMPA, FL 33613-1640
(813) 482-1743
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/03/2012
Last updated
07/03/2012
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