Individual
MS. VIVIAN KAREN GERARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP, LCSWE AND RN
Contact information
Practice address
419 WALNUT AVE, NIAGARA FALLS, NY 14301-1761
(716) 285-1904
(716) 284-8262
Mailing address
419 WALNUT AVE, NIAGARA FALLS, NY 14301-1761
(716) 285-1904
(716) 284-8262
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
R0384571
NY
163W00000X
Registered Nurse
3897821
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F401287-1
NY
Other
Enumeration date
01/12/2007
Last updated
10/24/2024
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