Abraham Alejandro Vandiver, FNP
Nurse Practitioner, Family in Escondido, CA. Individual provider (NPI-1).
NPI number1982176947
StatusActive
Last updated in NPPESSep 28, 2026
Details
- NPI
- 1982176947
- Entity type
- Individual (NPI-1)
- Name
- Abraham Alejandro Vandiver
- Credential
- FNP
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 31, 2018
- Certification date
- Sep 28, 2026
- Last updated
- Sep 28, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 95011167 | CA | Yes |
| 163W00000X | Registered Nurse | 820909 | CA |
Practice location
488 E Valley Pkwy Ste 411Escondido, CA 92025-3380
Phone 833-867-4642 · Fax 360-462-2741
Mailing address
625 Citracado Pkwy Ste 108Escondido, CA 92025-6428
Phone 760-743-1431 · Fax 760-743-6455
Other practice locations
625 Citracado Pkwy Ste 108
Escondido, CA 92025-6428
Escondido, CA 92025-6428
Phone 760-743-1431 · Fax 760-743-6455
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