THERESE VIVAS

BRYN MAWR, PA
NPI1477389435
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LG0600X Nurse Practitioner, Gerontology
(Licence: PA  SP030615)
Enumeration Date2024-09-09
Last Update Date2024-09-09
Business Address
THERESE VIVAS CRNP
919 CONESTOGA RD BLDG 1
BRYN MAWR, PA 19010-1352
Phone number: 610-525-6580
Mailing Address
THERESE VIVAS CRNP
814 CRESTVIEW RD
PHILADELPHIA, PA 19128-2303
Phone number: 267-761-8890