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NPI Code Detail

MEDICARE: VIVE INFUSIONS NURSING, INC.

MEDICARE: VIVE INFUSIONS NURSING, INC.
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
1251E00000XHome Health Agency
2251J00000XNursing Care Agency
3163W00000XRegistered Nurse

General Provider Information

NPI Number : 1972347300
Entity Type Code : Organization
Provider Name (Legal Business Name) : VIVE INFUSIONS NURSING, INC.
Provider Business Mailing Address
First Line : 2173 OAKMONT ST
Second Line :
City : SACRAMENTO
State : CA
Zip : 95815-3815
Country : US
Telephone Number : 916-340-5959
Fax Number :
Provider Business Practice Location Address
First Line : 3037 BRYANT PL
Second Line :
City : DAVIS
State : CA
Zip : 95618-1613
Country : US
Telephone Number : 916-340-5959
Fax Number :
Authorized Official
Title or Position : CEO/RN
Name : ARIANA CALDERON
Credential : RN
Telephone Number : 916-340-5959
Provider Enumeration Date : 06/20/2024
Last Update Date : 06/20/2024

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