Sprott, Vida Riston

Sprott, Vida Riston is an individual health care provider with primary practice located at 2965 Harrison St Ste 313 , Beaumont TX 77702-1113. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Sprott, Vida Riston can be contacted via phone (409) 838-4472.

Contact Information

Primary practice address
2965 Harrison St Ste 313 Beaumont TX 77702-1113
Phone: (409) 838-4472
Fax: (877) 769-2234
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 540793 Texas

Profile Details

NPI number 1023008265
LBN Legal business name Sprott, Vida Riston
Credentials APRN, CNM, FNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2005
Last updated Oct 29th, 2019 - about 5 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 1023008265 NPPES
Texas MEDICAID 135029004

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