| Ms Debra K Vivatson, MSN ACNP-C | |
|
201 East 3rd Ave S, Cavalier, ND 58220 | |
| (701) 780-5000 | |
| Not Available |
| Full Name | Ms Debra K Vivatson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Acute Care |
| Location | 201 East 3rd Ave S, Cavalier, North Dakota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720355233 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2100X | Nurse Practitioner - Acute Care | R22555 (North Dakota) | Primary |
| Entity Name | Cavalier County Memorial Hospital Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750328662 PECOS PAC ID: 5092623520 Enrollment ID: O20040527000411 |
| Entity Name | Avera St Lukes |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760423057 PECOS PAC ID: 6406764927 Enrollment ID: O20050726000602 |
| Entity Name | Mercy Hospital Of Devils Lake |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1659343093 PECOS PAC ID: 9537128681 Enrollment ID: O20070521000292 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Debra K Vivatson, MSN ACNP-C Po Box 6002, Grand Forks, ND 58206-6002 Ph: (701) 780-5000 | Ms Debra K Vivatson, MSN ACNP-C 201 East 3rd Ave S, Cavalier, ND 58220 Ph: (701) 780-5000 |
Kimberly Ford, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 301 Mountain St E, Cavalier, ND 58220 Phone: 701-265-8461 Fax: 701-265-6269 |