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MRS. ROSHALLY ELVY HUTABARAT LVN NPI 1679760573


NPI Information

NPI: 1679760573
Provider Name: MRS. ROSHALLY ELVY HUTABARAT, LVN
Classification: Licensed Vocational Nurse - 164X00000X
Entity Type: Individual
Address:
264 E 18TH ST
SAN BERNARDINO, CA
ZIP 92404
Phone: (909) 883-0288
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MRS. Roshally Elvy Hutabarat, LVN is a licensed vocational nurse in San Bernardino, CA. The provider is a licensed vocational nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states. MRS. Roshally Elvy Hutabarat, LVN NPI is 1679760573. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

264 E 18TH ST
SAN BERNARDINO, CA
ZIP 92404-708
Phone: (909) 883-0288

The enumeration date for this NPI number is 9/25/2007 and was last updated on 9/25/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1164X00000XLicensed Vocational NurseVA 209395CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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