Viky Divertie in Jacksonville - Nurse Practitioner
Viky Divertie - NPI 1790722684
Viky Divertie is a Nurse Practitioner in Jacksonville, Florida. Viky Divertie practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Viky Divertie is 1790722684. The last update date is 2010-09-09.
Viky Divertie's current location address is 12303 San Jose Blvd, Jacksonville, Florida. You can contact this provider via phone number 9042880277 and fax number 9042880414. The mailing address for Viky Divertie is 12303 San Jose Blvd, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Viky Divertie |
|---|---|
| Address | 12303 San Jose Blvd, Jacksonville, Florida |
| Phone Number | 9042880277 |
| Fax Number | 9042880414 |
| Sole Proprietor | N |
| Credentials | ARNP |
NPI Number Detail
| NPI Number | 1790722684 |
|---|---|
| Provider Enumeration Date | 2006-06-01 |
| Last Updated Date | 2010-09-09 |
Provider Mailing Address Detail
| Address | 12303 San Jose Blvd |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 322232640 |
| Phone Number | 9042880277 |
| Fax Number | 9042880414 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | ARNP2180342 |
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Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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What is the unique identifier code issued to Viky Divertie by the Centers for Medicare & Medicaid Services (CMS)?
The Viky Divertie has been assigned the NPI (National Provider Identifier) 1790722684. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Viky Divertie?
The Viky Divertie is situated at 12303 San Jose Blvd, in the city of Jacksonville, state of FL, with the zip code 322232640.
What is Viky Divertie's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Viky Divertie's specialized field of practice is Nurse Practitioner, and the corresponding taxonomy code that categorizes this area of specialization is 363L00000X.
When was the Viky Divertie's 1790722684 issued?
The Viky Divertie's 1790722684 was issued on 2006-06-01.
As of what date were the details pertaining to Viky Divertie last refreshed?
The information related to the Viky Divertie, including its address, specialty, and other relevant details, was last updated on 2010-09-09.
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