Individual provider · Type 1 NPI

Anthony Vivian

Student in an Organized Health Care Education/Training Program · La Crosse, WI

NPI number 1164315230 Active

Practice location

1820 Pine St
La Crosse, WI 54601-3750

Call (608) 785-8000 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1164315230

Anthony Vivian's National Provider Identifier is 1164315230, issued on May 29, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in La Crosse, WI. The record was last updated on May 29, 2025.