# VIVIAN NDIRIKA DURU

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1447529904
- **Gender:** F
- **Credential:** PA

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | C00004666 | MD | Yes |

## Other

- **Enumeration date:** 12/29/2011
- **Last updated:** 03/22/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 310866 | KAISER PERMANENTE | MD |
| 01 | — | 8393492 | AETNA HMO | MD |
| 01 | — | 9774810 | AETNA PPO | MD |