National Provider Identifier
Vivian Michele Whack, LPN
Vivian Michele Whack, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Cheektowaga, NY and a listed phone number of (716) 400-5357.
Profile Overview
- NPI
- 1740685528
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- October 23, 2014
- Last Updated
- October 23, 2014
Practice Location
- 64 Linda Dr
- Apt 5
- Cheektowaga, NY 14225-2744
Phone: (716) 400-5357
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1740685528
- Entity Type
- Individual
- Last Name
- Whack
- First Name
- Vivian
- Middle Name
- Michele
- Name Prefix
- MS.
- Credential
- LPN
- Mailing Street Address
- 64 Linda Dr
- Mailing Address Line 2
- Apt 5
- Mailing City
- Cheektowaga
- Mailing State
- NY
- Mailing ZIP Code
- 14225-2744
- Mailing Country
- US
- Mailing Phone
- (716) 400-5357
- Mailing Fax
- (716) 881-6247
- Practice Street Address
- 64 Linda Dr
- Practice Address Line 2
- Apt 5
- Practice City
- Cheektowaga
- Practice State
- NY
- Practice ZIP Code
- 14225-2744
- Practice Country
- US
- Practice Phone
- (716) 400-5357
- Practice Fax
- (716) 881-6247
- Enumeration Date
- October 23, 2014
- Last Updated
- October 23, 2014
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)