Chona, Vivian Ivelisse

Chona, Vivian Ivelisse is an individual health care provider with primary practice located at 1008 West Hallandale Beach Blvd , Hallandale Beach FL 33009. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Chona, Vivian Ivelisse can be contacted via phone (954) 456-4680.

Contact Information

Primary practice address
1008 West Hallandale Beach Blvd Hallandale Beach FL 33009
Phone: (954) 456-4680
Fax: (954) 456-5682
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X ARNP 9192984 Florida
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X ARNP9192984 Florida

Profile Details

NPI number 1225294267
LBN Legal business name Chona, Vivian Ivelisse
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 30th, 2008
Last updated Feb 3rd, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225294267 NPPES
Florida MEDICAID 000274400

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