Most Relevant Information
Provider Data
| NPI Number: | 1003545641 |
| Provider Name: | IVY H VU |
| Entity Type: | Individual |
| Taxonomy Code: | 363L00000X |
| Specialty: | Nurse Practitioner |
| License Number: | F09221297 |
Most Important Dates
| Enumeration Date: | 06/08/2022 |
| Last Updated: | 10/26/2023 |
Provider Practice Location
74333 CA-111
STE 204
PALM DESERT
CA
92260
Practice Location Phone/Fax
| Phone: | 7605075921 |
| Fax: |
Provider Mailing Location
1040 POINSETTIA CIR
CALIMESA
CA
923204918
Provider Mailing Phone/Fax
| Phone: | 7605075921 |
| Fax: |