MEDICARE: DEBORAH JOANN VIANO APRN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WD0400X	Diabetes Educator Registered Nurse	9183921	FL
2	163WN1003X	Nutrition Support Registered Nurse	9183921	FL
3	163WS0121X	Plastic Surgery Registered Nurse	9183921	FL
4	363LP2300X	Primary Care Nurse Practitioner	11031190	FL
5	363LF0000X	Family Nurse Practitioner	11031190	FL

General Provider Information

NPI Number	:	1649939844
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEBORAH JOANN VIANO APRN

Provider Business Mailing Address
First Line	:	1838 WILMAR AVE
Second Line	:
City	:	TARPON SPRINGS
State	:	FL
Zip	:	34689-5751
Country	:	US
Telephone Number	:	727-612-0705
Fax Number	:

Provider Business Practice Location Address
First Line	:	301 WOODLANDS PKWY STE 11
Second Line	:
City	:	OLDSMAR
State	:	FL
Zip	:	34677-2033
Country	:	US
Telephone Number	:	727-612-0705
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/15/2021
Last Update Date	:	02/12/2024

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