Individual
MRS. ASHLEY C VIVIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, PNP-PC
Contact information
Practice address
1919 FAIRFIELD AVE, SHREVEPORT, LA 71101-4436
(318) 828-2210
(318) 828-2215
Mailing address
2317 TALLGRASS CIR, BOSSIER CITY, LA 71111-6730
(318) 286-8684
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
AP206206
LA
Other
Enumeration date
06/17/2019
Last updated
06/17/2019
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