Individual
LYNNE M VIVINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
320 E NORTH AVE, PITTSBURGH, PA 15212-4756
(412) 359-3030
(412) 359-3060
Mailing address
320 E NORTH AVE, PITTSBURGH, PA 15212-4756
(412) 359-3030
(412) 359-3060
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
SP012236
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1027499970001
—
PA
Enumeration date
09/18/2012
Last updated
11/20/2014
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