Individual
MRS. VIVIAN DERR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
11448 SANDSTONE AVE, FOUNTAIN VALLEY, CA 92708-2522
(714) 839-4553
Mailing address
11448 SANDSTONE AVE, FOUNTAIN VALLEY, CA 92708-2522
(714) 839-4553
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
W176222
CA
Other
Enumeration date
11/23/2005
Last updated
07/08/2007
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