Provider Demographics
NPI:1730847690
Name:LOZANO, VIVIANA PATRICIA (APN, FNP-BC)
Entity type:Individual
Prefix:
First Name:VIVIANA
Middle Name:PATRICIA
Last Name:LOZANO
Suffix:
Gender:F
Credentials:APN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:55 HAZELWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:HILLSDALE
Mailing Address - State:NJ
Mailing Address - Zip Code:07642-2636
Mailing Address - Country:US
Mailing Address - Phone:551-579-9436
Mailing Address - Fax:
Practice Address - Street 1:760 MARKET ST
Practice Address - Street 2:
Practice Address - City:PATERSON
Practice Address - State:NJ
Practice Address - Zip Code:07513-1241
Practice Address - Country:US
Practice Address - Phone:973-523-8083
Practice Address - Fax:973-523-1133
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-07
Last Update Date:2021-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ01242900363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily