Provider Demographics
NPI:1114774189
Name:LUZIER, VIVIAN (MSN, APRN, FNP-BC)
Entity type:Individual
Prefix:MRS
First Name:VIVIAN
Middle Name:
Last Name:LUZIER
Suffix:
Gender:F
Credentials:MSN, APRN, FNP-BC
Other - Prefix:
Other - First Name:VIVIAN
Other - Middle Name:
Other - Last Name:COAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:615 N MAPLE GROVE AVE
Mailing Address - Street 2:
Mailing Address - City:HUDSON
Mailing Address - State:MI
Mailing Address - Zip Code:49247-1124
Mailing Address - Country:US
Mailing Address - Phone:517-474-9100
Mailing Address - Fax:
Practice Address - Street 1:2515 CAPITAL AVE SW
Practice Address - Street 2:
Practice Address - City:BATTLE CREEK
Practice Address - State:MI
Practice Address - Zip Code:49015-4103
Practice Address - Country:US
Practice Address - Phone:269-234-7656
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-06
Last Update Date:2024-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2487050501363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty