Individual
VIRGINIA MARIE VANDIVIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
1791 ALUM CREEK DR, COLUMBUS, OH 43207-1708
(641) 324-5489
Mailing address
1791 ALUM CREEK DR, COLUMBUS, OH 43207-1708
(614) 324-5489
(614) 444-3092
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
117409
OH
Other
Enumeration date
01/04/2017
Last updated
01/04/2017
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