Healthcare Provider Details

I. General information

NPI: 1609780832
Provider Name (Legal Business Name): VIVIE HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/02/2026
Last Update Date: 10/02/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4403 PIONEER RD SE
ALEXANDRIA MN
56308-9219
US

IV. Provider business mailing address

2209 JEFFERSON ST STE 201
ALEXANDRIA MN
56308-2848
US

V. Phone/Fax

Practice location:
  • Phone: 320-763-1164
  • Fax:
Mailing address:
  • Phone: 320-763-1164
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number
License Number StateNULL

VIII. Authorized Official

Name: MARNIE GUGISBERG
Title or Position: CFO
Credential:
Phone: 320-763-1164