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Koree Vivatson, APRN,CNP
Family Nurse Practitioner in West Fargo, North Dakota
NPI 1508467788

Koree Vivatson is a Family Nurse Practitioner based in Fargo, ND and is specialized in Family. Koree Vivatson practices in West Fargo, ND and has the professional credentials of APRN,CNP. The NPI Number for Koree Vivatson is 1508467788 and holds a License No. 7760 (North Dakota).

The current practice location address for Koree Vivatson is 1401 13Th Ave E, West Fargo, ND and can be reached out via phone at 701-364-5751.

Location: 1401 13Th Ave E, West Fargo, ND, 58103-4940
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1508467788
Provider Name
Koree Vivatson
Credential
APRN,CNP
Provider Entity Type
Individual
Gender
Female
Address
1401 13Th Ave E, West Fargo, ND, 58103-4940
Phone Number
701-364-5751
Fax Number
Provider Enumeration Date
11/04/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1401 13Th Ave E
City
West Fargo
State
North Dakota
Zip
58078-3468
Phone Number
701-364-5751
Fax Number
person
Provider Business Mailing Address Details
Address
1401 13Th Ave E
City
West Fargo
State
North Dakota
Zip
58078-3468
Phone Number
701-364-5751
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
7760 (Minnesota)
Definition
Definition to come...
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