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NPI Code Detail

MEDICARE: DUANE VU NP

MEDICARE:   DUANE  VU  NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse Practitioner95023906CA
2163WE0003XEmergency Registered Nurse839510CA

General Provider Information

NPI Number : 1801486766
Entity Type Code : Individual
Provider Name (Legal Business Name) : DUANE VU NP
Provider Business Mailing Address
First Line : 346 N COLORADO PL
Second Line :
City : LONG BEACH
State : CA
Zip : 90814-2324
Country : US
Telephone Number : 626-400-0793
Fax Number :
Provider Business Practice Location Address
First Line : 346 N COLORADO PL
Second Line :
City : LONG BEACH
State : CA
Zip : 90814-2324
Country : US
Telephone Number : 626-400-0793
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/24/2021
Last Update Date : 05/14/2024

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Directions to “ DUANE VU NP” Practice Location

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