Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DESIREE VIVIANO
ActiveDESIREE VIVIANO is a Physician Assistant healthcare provider located in BOWDOIN, Maine. NPI 1881097186 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · BOWDOIN, ME
Registration Details
- NPI Number
- 1881097186
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 30, 2014 (11.861250921943 yrs)
- Last Updated
- Sep 12, 2022
- Licenses
-
017990-1 (NY)PA2178 (ME)
Practice Information
- Address
-
448 WEST RDBOWDOIN, ME, 042877237Browse ME providers · Browse ZIP 04287
- Phone
- 5164568812
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.