Healthcare Provider Details
I. General information
NPI: 1669523353
Provider Name (Legal Business Name): VIVIAN MARY SAVIT R.N., MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 01/16/2007
Last Update Date: 03/25/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
131 MARKET ST
JOHNSTOWN PA
15901-1628
US
IV. Provider business mailing address
2115 HAYDEN DR
JOHNSTOWN PA
15905-1537
US
V. Phone/Fax
- Phone: 814-534-0745
- Fax: 814-536-5431
- Phone: 814-255-7839
- Fax: 814-255-0297
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 104100000X |
| Taxonomy | Social Worker |
| License Number | |
| License Number State | NULL |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 163W00000X |
| Taxonomy | Registered Nurse |
| License Number | RN573801 |
| License Number State | PA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: