Individual
MS. VIVAKSHA KHANDURI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, FNP-BC
Contact information
Practice address
7631 212TH ST SW STE 107B, EDMONDS, WA 98026-7565
(425) 610-9394
(833) 418-1959
Mailing address
4580 KLAHANIE DR SE # 197, SAMMAMISH, WA 98029-5812
(425) 610-9394
(833) 418-1959
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP60798086
WA
Other
Enumeration date
10/04/2017
Last updated
07/03/2025
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