Individual provider · Type 1 NPI

Vivien Talosig Shadd, MSN, FNP-BC, CDE

Family Nurse Practitioner · Los Angeles, CA

NPI number 1083937148 Active

Practice location

1800 Wilshire Blvd
Los Angeles, CA 90057-3602

Fax (213) 484-9939

Mailing address

22311 Runnymede St
Canoga Park, CA 91303-1023

Specialties and licenses

TaxonomyCodeLicense
Diabetes Educator Registered Nurse 163WD0400X559188 (CA)
Family Nurse Practitioner Primary 363LF0000X19568 (CA)

Family Nurse Practitioner: Definition to come...

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About NPI 1083937148

Vivien Talosig Shadd, MSN, FNP-BC, CDE's National Provider Identifier is 1083937148, issued on Mar 3, 2010. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Los Angeles, CA. The record was last updated on Oct 24, 2021.