Individual
MRS. VIVIANA FAUNCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP-BC
Contact information
Practice address
1801 ATLANTIC AVENUE, ATLANTIC CITY, NJ 08401
(609) 570-2400
Mailing address
124 MARSHALL DRIVE, EGG HARBOR TOWNSHIP, NJ 08234
(609) 653-1755
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
26NJ00592500
NJ
Other
Enumeration date
10/26/2015
Last updated
03/17/2018
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