Provider Demographics
NPI:1205101763
Name:RANKINS, VIVIAN GAIL (RN)
Entity type:Individual
Prefix:MRS
First Name:VIVIAN
Middle Name:GAIL
Last Name:RANKINS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3219 TRAUM DR
Mailing Address - Street 2:
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48602-3480
Mailing Address - Country:US
Mailing Address - Phone:989-793-6466
Mailing Address - Fax:
Practice Address - Street 1:3219 TRAUM DR
Practice Address - Street 2:
Practice Address - City:SAGINAW
Practice Address - State:MI
Practice Address - Zip Code:48602-3480
Practice Address - Country:US
Practice Address - Phone:989-793-6466
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-16
Last Update Date:2012-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704131096163WP2201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP2201XNursing Service ProvidersRegistered NurseAmbulatory Care