Doctor Name: | VIVIAN W. ENDAYA |
NPI Number: | 1053707992 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | ARNP 2839572 |
Business Practice Address: | 9530 Riverchase Dr New Port Richey, FL - 346555720 |
Business Phone Number: | 3013568147 |
Business Fax Number: | |
Mailing Address: | 9530 Riverchase Dr, NEW PORT RICHEY |
State: | FL |
Postal Code: | 346555720 |
Phone Number: | 3013568147 |
Fax Number: | |
NPI Enumeration Date: | 04/07/2015 |
NPI Last Update Date: | 04/07/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LG0600X |
License Number: | ARNP 2839572 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Gerontology |
Taxonomy Definition: |