| Doctor Name: | VIVIAN MARIE HEADEN |
| NPI Number: | 1790828770 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 3408022 |
| Business Practice Address: | 209 S 2nd Ave Siler City, NC - 273443429 |
| Business Phone Number: | 9196631366 |
| Business Fax Number: | 9196631369 |
| Mailing Address: | 1109 Sunrise Pl, SILER CITY |
| State: | NC |
| Postal Code: | 273449442 |
| Phone Number: | 9196631891 |
| Fax Number: | |
| NPI Enumeration Date: | 02/15/2007 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251J00000X |
| License Number: | 3408022 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Nursing Care |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services. |