Ivy H Vu
Nurse Practitioner in Palm Desert, CA. Individual provider (NPI-1).
NPI number1003545641
StatusActive
Last updated in NPPESOct 26, 2023
Details
- NPI
- 1003545641
- Entity type
- Individual (NPI-1)
- Name
- Ivy H Vu
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 8, 2022
- Certification date
- Oct 26, 2023
- Last updated
- Oct 26, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | F09221297 | CA | Yes |
Practice location
74333 Ca-111Ste 204
Palm Desert, CA 92260
Phone 760-507-5921
Mailing address
1040 Poinsettia CirCalimesa, CA 92320-4918
Phone 760-507-5921
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