Derr, Vivian

Derr, Vivian is an individual health care provider with primary practice located at 11448 Sandstone Ave , Fountain Valley CA 92708-2522. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Derr, Vivian can be contacted via phone (714) 839-4553.

Contact Information

Primary practice address
11448 Sandstone Ave Fountain Valley CA 92708-2522
Phone: (714) 839-4553
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X W176222 California

Profile Details

NPI number 1144203019
LBN Legal business name Derr, Vivian
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 23rd, 2005
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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