Vivian L Colont, RN APRN NURSE PRACTI Valid NPI

Individual provider · Pediatric Nurse Practitioner · Maryville, TN

NPI

1104921501

Type

Individual (Type 1)

Primary specialty

Pediatric Nurse Practitioner (Nurse Practitioner)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363LP0200X

License number

RN89370 (TN)

Sex

Female

Sole proprietor

No

Enumerated

2006-09-13

Last updated

2007-07-08