Individual
MARZIYEH VIVERETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
238 MERRIMAC CT, PRINCE FREDERICK, MD 20678-6113
(410) 535-0412
(833) 963-2035
Mailing address
238 MERRIMAC CT, PRINCE FREDERICK, MD 20678-6113
(410) 535-0412
(833) 963-2035
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R204973
MD
Other
Enumeration date
08/20/2016
Last updated
07/15/2022
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