Vivian, Concetta M

Vivian, Concetta M is an individual health care provider with primary practice located at 5100 W Tilghman St Ste 315 , Allentown PA 18104-9166. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is her primary health care specialty. Vivian, Concetta M can be contacted via phone (610) 395-4044.

Contact Information

Primary practice address
5100 W Tilghman St Ste 315 Allentown PA 18104-9166
Phone: (610) 395-4044
Fax: (610) 395-5693
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN239821L Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RN239821L Pennsylvania

Profile Details

NPI number 1043271372
LBN Legal business name Vivian, Concetta M
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2006
Last updated Feb 11th, 2020 - about 4 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 1043271372 NPPES
Pennsylvania Other P00237876 RAILROAD MC PROV#

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