Individual
MRS. VIVIAN MARIA DOURNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
122 N MAPLE AVE, BASKING RIDGE, NJ 07920-1019
(908) 229-3962
Mailing address
122 N MAPLE AVE, BASKING RIDGE, NJ 07920-1019
(908) 229-3962
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0
NA
NJ
Enumeration date
04/25/2021
Last updated
04/25/2021
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