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Vivian Enyo Dzata, NP
Pediatric Nurse Practitioner in Springfield, Oregon
NPI 1023245024

Vivian Enyo Dzata is a Pediatric Nurse Practitioner based in Springfield, OR and is specialized in Pediatrics. Vivian Enyo Dzata practices in Springfield, OR and has the professional credentials of NP. The NPI Number for Vivian Enyo Dzata is 1023245024 and holds a License No. 201602785NP-PP (Oregon).

The current practice location address for Vivian Enyo Dzata is 2073 Olympic St, Springfield, OR and can be reached out via phone at 541-682-3550 and via fax at 541-682-3551.

Location: 2073 Olympic St, Springfield, OR, 97477-3413
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Provider Profile Details
NPI Number
1023245024
Provider Name
Vivian Enyo Dzata
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
2073 Olympic St, Springfield, OR, 97477-3413
Phone Number
541-682-3550
Fax Number
541-682-3551
Provider Enumeration Date
06/17/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2073 Olympic St
City
State
Zip
97477-3413
Phone Number
541-682-3550
Fax Number
541-682-3551
person
Provider Business Mailing Address Details
Address
2073 Olympic St
City
State
Zip
97477-3413
Phone Number
541-682-3550
Fax Number
541-682-3551
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
201602785NP-PP (Oregon)
Definition
Definition to come...
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