Individual
MRS. VIVIEN JANIS HALLORAN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
2979 VICTORIA ST, BETTENDORF, IA 52722-2784
(563) 332-8528
(563) 332-9331
Mailing address
2734 BROOKVIEW RD, MUSCATINE, IA 52761-9784
(563) 264-8908
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
G-049173
IA
Other
Enumeration date
05/01/2006
Last updated
07/08/2007
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