Vivien Talosig Shadd MSN, FNP-BC,CDE

NPI 1083937148 - Registered Nurse - 163WD0400X

NPI Details
NPI 1083937148
Gender Female
Enumeration Date 03/03/2010
Last Updated 03/03/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
1800 WILSHIRE BLVD
LOS ANGELES CA, 90057-3602, US
Phone (213) 484-9934
Fax (213) 484-9939
Business Location
22311 RUNNYMEDE ST
CANOGA PARK CA, 91303-1023, US
Phone (818) 456-7582
Fax (818) 713-1873
Toxanomy
Taxonomy Code 163WD0400X
License State California
License Number 559188
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According to our database, Vivien Talosig Shadd MSN, FNP-BC,CDE NPI is 1083937148, taxonomy code is 163WD0400X and license number is 559188, license state is located at California. Vivien Talosig Shadd MSN, FNP-BC,CDE physically located at 1800 Wilshire Blvd, Los Angeles CA, 90057-3602. NPI Number Vivien Talosig Shadd MSN, FNP-BC,CDE has the Individual type.

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1083937148 NPI number is provided on an as is basis without warranty of any kind. 1083937148 is maintained by the National Plan & Provider Enumeration System. The contents of Vivien Talosig Shadd MSN, FNP-BC,CDE are for informational purposes only.