Individual
COURTNEY VIVIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2006 HOGBACK RD STE 5A, ANN ARBOR, MI 48105-9750
(734) 263-2417
Mailing address
255 W MICHIGAN AVE, JACKSON, MI 49201-2218
(800) 516-5315
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704304277
MI
Other
Enumeration date
11/12/2020
Last updated
01/15/2025
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