Individual
MRS. KAREN R VIVENZIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
1400 VFW PARKWAY, WEST ROXBURY VETERANS ADMINISTRATION, WEST ROXBURY, MA 02132
(857) 203-6871
(857) 203-5738
Mailing address
1400 VFW PKWY, WEST ROXBURY, MA 02132-4927
(857) 203-6871
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
263669
MA
363LA2100X
Acute Care Nurse Practitioner
5155791
NY
363LA2100X
Acute Care Nurse Practitioner
F3332551
NY
363LA2100X
Acute Care Nurse Practitioner
RN281298L
PA
363LA2100X
Acute Care Nurse Practitioner
VP005145B
PA
Other
Enumeration date
06/01/2006
Last updated
07/08/2007
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