Provider Demographics
NPI:1063667897
Name:VIATOR, EMILY A (NP-C)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:A
Last Name:VIATOR
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:104 ENDICOTT ST STE 200
Mailing Address - Street 2:
Mailing Address - City:DANVERS
Mailing Address - State:MA
Mailing Address - Zip Code:01923-3688
Mailing Address - Country:US
Mailing Address - Phone:978-882-6899
Mailing Address - Fax:978-882-6890
Practice Address - Street 1:104 ENDICOTT ST STE 200
Practice Address - Street 2:
Practice Address - City:DANVERS
Practice Address - State:MA
Practice Address - Zip Code:01923-3688
Practice Address - Country:US
Practice Address - Phone:978-882-6899
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-11-20
Last Update Date:2021-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA268208363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner