Individual provider · Type 1 NPI
Koree Vivatson, APRN, CNP
Family Nurse Practitioner · West Fargo, ND
NPI number
1508467788
Active
Practice location
1401 13th Ave E
West Fargo, ND 58078-3468
Mailing address
1702 University Dr S
Fargo, ND 58103-4940
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 7760 (MN) |
| Family Nurse Practitioner Primary | 363LF0000X | R41374 (ND) |
Family Nurse Practitioner: Definition to come...
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Other family nurse practitioner providers in West Fargo
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- Evon OtehFamily Nurse Practitioner West Fargo, ND NPI 1063221257
- Jenna Rose Wallace, DNP, APRN, CNPFamily Nurse Practitioner West Fargo, ND NPI 1093236572
- James Reed Cronin, APRN, CNPFamily Nurse Practitioner West Fargo, ND NPI 1114818689
- Molly Christine McManusFamily Nurse Practitioner West Fargo, ND NPI 1285117028
About NPI 1508467788
Koree Vivatson, APRN, CNP's National Provider Identifier is 1508467788, issued on Nov 4, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in West Fargo, ND. The record was last updated on Nov 4, 2020.