Theriault, Vivian M

Theriault, Vivian M is an individual health care provider with primary practice located at 720 Oak Commons Blvd , Kissimmee FL 34741. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is her primary health care specialty. Theriault, Vivian M can be contacted via phone (407) 933-2522.

Contact Information

Primary practice address
720 Oak Commons Blvd Kissimmee FL 34741
Phone: (407) 933-2522
Fax: (407) 932-0215
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X ARNP 3391622 Florida
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X APRN3391622 Florida

Profile Details

NPI number 1740494962
LBN Legal business name Theriault, Vivian M
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date May 9th, 2007
Last updated Jan 29th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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