Vivian Patricia Everett
NPI #1174025035 in Kings Park, New York
Provider Information
- NPI Number
- 1174025035
- Entity Type
- Individual
- Name
- Vivian Patricia Everett
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- Mar 6, 2018
- Last Updated
- Mar 6, 2018
Practice Location
- Address
- 126 ALDER DR
- City
- Kings Park
- State
- New York
- ZIP Code
- 11754-2229
- Phone
- (631) 339-1638
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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