Vivian Larson, RN
Individual provider Active NPI Registered Nurse · Kennewick, WA
NPI 1194597252 · NPPES record last updated Oct 23, 2023
Key facts
- NPI
- 1194597252
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- RN60612111 (WA)
- Practice address
- 8819 W Victoria Ave Ste 110
Kennewick, WA 99336-7193 - Phone
- (509) 783-1851
- NPI assigned
- Oct 23, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN60612111 | WA | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tri-Cities Home Health, LLC | Current |
Accepting new patients |
Locations
8819 W Victoria Ave
Ste 110
Kennewick, WA 99336
Phone (509) 783-1851
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN60612111 | WA | Yes |
Addresses
Primary practice location
8819 W Victoria Ave Ste 110
Kennewick, WA 99336-7193
Mailing address
8819 W Victoria Ave Ste 110
Kennewick, WA 99336-7193
Phone (509) 783-1851
Other providers in Kennewick, WA
- Anthony Lynn Larsen
- Kimball L Larsen
- Meagan Larsen
- Deanna Larson
- Kimberly Raquell Larson
- Lasting Harmony LLC
- Sawyer Dane Lau
- Brycen Matthew Lauer
- Teresa Laurent
- Scott Edward Lawless
All providers in Kennewick, WA · Registered Nurse in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 23, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.