Individual provider · Type 1 NPI
Vivian Fan
Family Nurse Practitioner · San Marino, CA
NPI number
1972323558
Active
Practice location
1437 San Marino Ave
San Marino, CA 91108-2027
Mailing address
1132 S 3rd St
Alhambra, CA 91801-4723
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 95030461 (CA) |
Family Nurse Practitioner: Definition to come...
2 other providers at this address
Other family nurse practitioner providers in San Marino
About NPI 1972323558
Vivian Fan's National Provider Identifier is 1972323558, issued on Oct 16, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in San Marino, CA. The record was last updated on Oct 16, 2024.