Individual provider · Type 1 NPI

Vivian Otiende

Psychiatric/Mental Health Nurse Practitioner · La Verne, CA

NPI number 1780423343 Active

Practice location

4121 Melody St
La Verne, CA 91750-3228

Call (316) 250-9897 Map

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X95392476 (CA)
Psychiatric/Mental Health Nurse Practitioner 363LP0808X53-83182-052 (KS)
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X302005 (AZ)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

About NPI 1780423343

Vivian Otiende's National Provider Identifier is 1780423343, issued on May 23, 2024. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in La Verne, CA. The record was last updated on May 7, 2025.