Therese Vivas, CRNP
NPI #1477389435 in Bryn Mawr, Pennsylvania
Provider Information
- NPI Number
- 1477389435
- Entity Type
- Individual
- Name
- Therese Vivas, CRNP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Gerontology
- Credential
- CRNP
- Enumeration Date
- Sep 9, 2024
- Last Updated
- Sep 9, 2024
Practice Location
- Address
- 919 CONESTOGA RD BLDG 1
- City
- Bryn Mawr
- State
- Pennsylvania
- ZIP Code
- 19010-1352
- Phone
- (610) 525-6580
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Gerontology — Gerontology |
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