Provider Demographics
NPI:1700435583
Name:MILOVAN, VIVIANNE ANDREA (APRN)
Entity type:Individual
Prefix:MRS
First Name:VIVIANNE
Middle Name:ANDREA
Last Name:MILOVAN
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 1:9261 PLANTATION ESTATES DR
Mailing Address - Street 2:
Mailing Address - City:ROYAL PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33411-4557
Mailing Address - Country:US
Mailing Address - Phone:561-628-1536
Mailing Address - Fax:
Practice Address - Street 1:1402 ROYAL PALM BEACH BLVD STE 700
Practice Address - Street 2:
Practice Address - City:ROYAL PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33411-1699
Practice Address - Country:US
Practice Address - Phone:561-650-5636
Practice Address - Fax:561-720-2528
Is Sole Proprietor?:No
Enumeration Date:2019-09-05
Last Update Date:2025-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11003860363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily