Healthcare Provider Details

I. General information

NPI: 1649939844
Provider Name (Legal Business Name): DEBORAH JOANN VIANO APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/15/2021
Last Update Date: 02/12/2024
Certification Date: 02/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 WOODLANDS PKWY STE 11
OLDSMAR FL
34677-2033
US

IV. Provider business mailing address

1838 WILMAR AVE
TARPON SPRINGS FL
34689-5751
US

V. Phone/Fax

Practice location:
  • Phone: 727-612-0705
  • Fax:
Mailing address:
  • Phone: 727-612-0705
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WD0400X
TaxonomyDiabetes Educator Registered Nurse
License Number9183921
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code163WN1003X
TaxonomyNutrition Support Registered Nurse
License Number9183921
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code163WS0121X
TaxonomyPlastic Surgery Registered Nurse
License Number9183921
License Number StateFL
# 4
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number11031190
License Number StateFL
# 5
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number11031190
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: