Provider Demographics
NPI:1649939844
Name:VIANO, DEBORAH JOANN (APRN)
Entity type:Individual
Prefix:
First Name:DEBORAH
Middle Name:JOANN
Last Name:VIANO
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1838 WILMAR AVE
Mailing Address - Street 2:
Mailing Address - City:TARPON SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:34689-5751
Mailing Address - Country:US
Mailing Address - Phone:727-612-0705
Mailing Address - Fax:
Practice Address - Street 1:301 WOODLANDS PKWY STE 11
Practice Address - Street 2:
Practice Address - City:OLDSMAR
Practice Address - State:FL
Practice Address - Zip Code:34677-2033
Practice Address - Country:US
Practice Address - Phone:727-612-0705
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-15
Last Update Date:2024-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9183921163WD0400X, 163WN1003X, 163WS0121X
FL11031190363LP2300X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
No163WD0400XNursing Service ProvidersRegistered NurseDiabetes Educator
No163WN1003XNursing Service ProvidersRegistered NurseNutrition Support
No163WS0121XNursing Service ProvidersRegistered NursePlastic Surgery
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Multi-Specialty