Vivian Enyo Dzata
Nurse Practitioner - Pediatrics
2073 Olympic St
Springfield
, Oregon 97477-3413
Vivian Enyo Dzata
Nurse Practitioner - Pediatrics
2073 Olympic St
Springfield
, Oregon 97477-3413
(541) 682-3551
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About
Features
Specialties
- Nurse Practitioner - Pediatrics
Languages spoken
- English
Location
First Address
- Vivian Enyo Dzata
- 2073 Olympic St
- Springfield, OR
- Zip : 97477-3413
- Fax : (541) 682-3551
- Phone : (541) 682-3550
Second Address
- Vivian Enyo Dzata
- 2073 Olympic St
- Springfield, OR
- Zip : 97477-3413
- Fax : (541) 682-3551
- Phone : (541) 682-3550
Reviews
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Is Vivian Enyo Dzata a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP0200X | Nurse Practitioner - Pediatrics | 201602785NP-PP | OR |
National Provider Identifier
| NPI | 1023245024 |
|---|---|
| Provider Name | Vivian Enyo Dzata |
| First Address | Springfield, OR 97477-3413 |
| Second Address | Springfield, OR 97477-3413 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/06/2009 |
| Last Update Date | 25/07/2016 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.