Vivian Ifediora
Vivian Ifediora is a Nurse Practitioner in Compton, California. Qualified in 2024, 2 years ago. Practices as a sole proprietor. Licensed in California.
- Years since qualifying
- 2
- Licensed in
- CA
- In the registry since
- 2024
Practice location Address checks out
1902 W 133rd StCompton, CA 90222-1622
Phone: (310) 382-4882
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Specialties & licences
| Psychiatric/Mental Health Nurse Practitioner (primary) | Taxonomy 363LP0808X · Licence 95032026 (CA) |
|---|
Record details
| NPI number | 1427866276 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | December 26, 2024 |
| Last updated in NPPES | December 26, 2024 |
| Certification date | December 26, 2024 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2024 (2 years in practice) |
| Accepts Medicare assignment | Not indicated |
| Practice locations | 3 on file with Medicare |
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