VIVIAN SHEILA DUNGAN


Address: 32237 Agua Dulce Rd, Agua Dulce, CA 91390
Phone: 8183718313

VIVIAN SHEILA DUNGAN (NPI# 1811452030) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1811452030
Entity Type Individual
Full Name VIVIAN SHEILA DUNGAN
Practice Address 32237 Agua Dulce Rd
Agua Dulce
CA 91390
Practice Telephone 8183718313
Mailing Telephone 8183718313
Enumeration Date 2019-02-01
Last Update Date 2019-02-01
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 364SP0810X Clinical Nurse Specialist
Specialization: Psych/Mental Health, Child & Family
358986 CA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
LICENSE NUMBER 358986 01
CA LICENSE NUMBER 358986 01

Office Location

Street Address 32237 AGUA DULCE RD
City AGUA DULCE
State CA
Zip Code 91390

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Taxonomy Information

Taxonomy Code 364SP0810X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Clinical Nurse Specialist
Specialization Psych/Mental Health, Child & Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1023652799 Kristie Allison Clinical Nurse Specialist 9645 Arrow Rte Ste A, Rancho Cucamonga, CA 91730-4554 2019-11-05

Competitor

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City AGUA DULCE
Zip Code 91390

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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