Vivian M Theriault in Kissimmee - Gerontology
Vivian M Theriault - NPI 1740494962
Vivian M Theriault is a Gerontology in Kissimmee, Florida. Vivian M Theriault practices all healthcare services and medical treatments related to Gerontology. The NPI Number for Vivian M Theriault is 1740494962. The last update date is 2019-01-29.
Vivian M Theriault's current location address is 720 Oak Commons Blvd, Kissimmee, Florida. You can contact this provider via phone number 4079332522 and fax number 4079320215. The mailing address for Vivian M Theriault is 720 Oak Commons Blvd, Kissimmee, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Vivian M Theriault |
|---|---|
| Address | 720 Oak Commons Blvd, Kissimmee, Florida |
| Phone Number | 4079332522 |
| Fax Number | 4079320215 |
| Sole Proprietor | N |
| Credentials | APRN |
NPI Number Detail
| NPI Number | 1740494962 |
|---|---|
| Provider Enumeration Date | 2007-05-09 |
| Last Updated Date | 2019-01-29 |
Provider Mailing Address Detail
| Address | 720 Oak Commons Blvd |
|---|---|
| City | Kissimmee |
| State | Florida (FL) |
| Post Code | 347414100 |
| Phone Number | 4079332522 |
| Fax Number | 4079320215 |
Provider's Primary Taxonomy Detail
| Speciality | Gerontology |
|---|---|
| Taxonomy | 363Lg0600X |
| Licence No | APRN3391622 |
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Definition: An advanced practice registered nurse expert in providing care to older adult patients. |
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What is the unique identifier code issued to Vivian M Theriault by the Centers for Medicare & Medicaid Services (CMS)?
The Vivian M Theriault has been assigned the NPI (National Provider Identifier) 1740494962. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Vivian M Theriault located?
The Vivian M Theriault is located at 720 Oak Commons Blvd, Kissimmee, FL 347414100.
What is Vivian M Theriault's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Vivian M Theriault is Gerontology, and the corresponding taxonomy classification code for this specialized field is 363Lg0600X.
On what date did the Vivian M Theriault receive the assignment of its 1740494962 from the Centers for Medicare & Medicaid Services?
The Vivian M Theriault was issued its 1740494962 by the Centers for Medicare & Medicaid Services on 2007-05-09.
When was the Vivian M Theriault's information last updated?
The Vivian M Theriault's information was last updated on 2019-01-29.
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