ANDREA BULLOCK LVN - NPI 1114406584 - Licensed Vocational Nurse in Fresno, CA

Q: What is the provider's specialty?

The provider's specialty is Licensed Vocational Nurse with taxonomy code 164X00000X.

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About Andrea Bullock Lvn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANDREA BULLOCK LVN (NPI 1114406584) is an individual licensed vocational nurse in Fresno, California, licensed in California (VN687571) and active in the NPI registry since August 2018.

NPPES Registry Identity

NPI1114406584

Entity TypeIndividualFemale

Primary Taxonomy164X00000X

Provider Legal NameANDREA BULLOCKCredential: LVN

Location Address4441 E KINGS CANYON RDFresno, CA 93702-3604

Mailing Address6051 N Fresno St Ste 102Fresno, CA 93710-5280 · (559) 224-9078

Phone(559) 600-9180

Sole ProprietorYes

Enumeration DateAugust 7, 2018

✔ NPI 1114406584 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Vocational NurseNursing Service Providers

Taxonomy Code164X00000X

License✔ Licensed in CA · VN687571

Definition

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.

4441 E KINGS CANYON RD, Fresno, CA 93702

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