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RAVEN BETHANNIE AUDOMA-PETZEL NPI 1720747165


NPI Information

NPI: 1720747165
Provider Name: RAVEN BETHANNIE AUDOMA-PETZEL
Classification: Licensed Vocational Nurse - 164X00000X
Entity Type: Individual
Address:
2085 RUSTIN AVE STE 1
RIVERSIDE, CA
ZIP 92507
Phone: (951) 955-7320
Get Directions

Raven Bethannie Audoma-petzel is a licensed vocational nurse in Riverside, 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. Raven Bethannie Audoma-petzel NPI is 1720747165. 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:

2085 RUSTIN AVE STE 1
RIVERSIDE, CA
ZIP 92507-498
Phone: (951) 955-7320

The enumeration date for this NPI number is 12/13/2021 and was last updated on 12/13/2021.


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 Nurse266168CALIFORNIAYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.