National Provider Identifier
Vivian L Condello, RN, MS, FNP, IBCLC
Vivian L Condello, RN, MS, FNP, IBCLC is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner in Brockport, NY and a listed phone number of (585) 395-2414.
Profile Overview
- NPI
- 1538374129
- Provider Type
- Individual
- Primary Specialty
- Family Nurse Practitioner
- Enumeration Date
- May 14, 2007
- Last Updated
- February 04, 2022
Practice Location
- 350 New Campus Dr
- Hazen Hall
- Brockport, NY 14420-2997
Phone: (585) 395-2414
Mailing Address
- 148 Clooney Dr
- Henrietta, NY 14467-8902
Specialties
- Family Nurse Practitioner (363LF0000X)
- Lactation Consultant (Registered Nurse) (163WL0100X)
Full Record
- NPI
- 1538374129
- Entity Type
- Individual
- Last Name
- Condello
- First Name
- Vivian
- Middle Name
- L
- Name Prefix
- Mrs.
- Credential
- RN, MS, FNP, IBCLC
- Mailing Street Address
- 148 Clooney Dr
- Mailing City
- Henrietta
- Mailing State
- NY
- Mailing ZIP Code
- 14467-8902
- Mailing Country
- US
- Mailing Phone
- (585) 334-4049
- Practice Street Address
- 350 New Campus Dr
- Practice Address Line 2
- Hazen Hall
- Practice City
- Brockport
- Practice State
- NY
- Practice ZIP Code
- 14420-2997
- Practice Country
- US
- Practice Phone
- (585) 395-2414
- Practice Fax
- (585) 395-2559
- Enumeration Date
- May 14, 2007
- Last Updated
- February 04, 2022
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- February 04, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Family Nurse Practitioner (363LF0000X), Lactation Consultant (Registered Nurse) (163WL0100X)
- Other Identifiers
- RB7031 (NY, Medicare Ptan)