Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LA2200X | Nurse Practitioner - Adult Health | 305984 | NY |
N | 363LG0600X | Nurse Practitioner - Gerontology | 340836 | NY |
Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | 403109 | NY |
NPI | 1043566292 |
---|---|
Provider Name | Diana Duvivier |
First Address | New York, NY 10035-3108 |
Second Address | New York, NY 10035-3108 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/07/2012 |
Last Update Date | 08/07/2021 |