person
Lisa 'lee' Ann Vivanco, DNP
Psychiatric/Mental Health Nurse Practitioner in Renton, Washington
NPI 1871088427

Lisa 'lee' Ann Vivanco is a Psychiatric/Mental Health Nurse Practitioner based in Renton, WA and is specialized in Psychiatric/Mental Health. Lisa 'lee' Ann Vivanco practices in Renton, WA and has the professional credentials of DNP. The NPI Number for Lisa 'lee' Ann Vivanco is 1871088427 and holds a License No. AP60865969 (Washington).

The current practice location address for Lisa 'lee' Ann Vivanco is 400 S 43Rd St, Renton, WA and can be reached out via phone at 425-228-3440 and via fax at 425-656-4214.

Location: 400 S 43Rd St, Renton, WA, 98057-4970
person
Provider Profile Details
NPI Number
1871088427
Provider Name
Lisa 'lee' Ann Vivanco
Credential
DNP
Provider Entity Type
Individual
Gender
Female
Address
400 S 43Rd St, Renton, WA, 98057-4970
Phone Number
425-228-3440
Fax Number
425-656-4214
Provider Enumeration Date
06/26/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2104819 05 WA
institution
Provider Business Practice Location Address Details
Address
400 S 43Rd St
City
State
Zip
98055-5714
Phone Number
425-228-3440
Fax Number
425-656-4214
person
Provider Business Mailing Address Details
Address
400 S 43Rd St
City
State
Zip
98055-5714
Phone Number
425-228-3440
Fax Number
425-656-4214
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
AP60865969 (Washington)
Definition
Definition to come...
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