Organization · Type 2 NPI

Vida Avanti Medicine

Nurse Practitioner · Long Beach, CA

NPI number 1073288718 Active

Practice location

3350 E 7th St # 519
Long Beach, CA 90804-5003

Mailing address

3013 Keeling Ave
Nashville, TN 37216-3015

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XNone listed

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1073288718

Vida Avanti Medicine's National Provider Identifier is 1073288718, issued on Aug 13, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Long Beach, CA. The record was last updated on Sep 2, 2025.