Vivatson, Koree

Vivatson, Koree is an individual health care provider with primary practice located at 1401 13Th Ave E , West Fargo ND 58078-3468. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Vivatson, Koree can be contacted via phone (701) 364-5751.

Contact Information

Primary practice address
1401 13Th Ave E West Fargo ND 58078-3468
Phone: (701) 364-5751
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 7760 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R41374 North Dakota

Profile Details

NPI number 1508467788
LBN Legal business name Vivatson, Koree
Credentials APRN,CNP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 4th, 2020
Last updated Nov 4th, 2020 - about 6 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.

Request for update

Popular Providers