DOUGLAS CLAYTON MESEROLE LVN - NPI 1275030843 - Licensed Vocational Nurse in San Diego, CA

Q: What is Douglas Meserole's NPI number?

The NPI number for Douglas Meserole is 1275030843. It was assigned to this individual provider in the NPPES registry on April 10, 2018.

Q: What is Douglas Meserole's specialty?

The primary specialty registered for this NPI is Licensed Vocational Nurse with taxonomy code 164X00000X.

Q: When was this NPI record last updated?

The NPPES record for Douglas Meserole was last updated on April 10, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

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About Douglas Clayton Meserole Lvn NPPES

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

DOUGLAS CLAYTON MESEROLE LVN (NPI 1275030843) is an individual licensed vocational nurse in San Diego, California, licensed in California (VN216427) and active in the NPI registry since April 2018.

NPPES Registry Identity

NPI1275030843

Entity TypeIndividualMale

Primary Taxonomy164X00000X

Provider Legal NameDOUGLAS CLAYTON MESEROLECredential: LVN

Location Address4309 3RD AVESan Diego, CA 92103-1407

Mailing Address1043 S Sunshine Ave Apt 9El Cajon, CA 92020-7554 · (619) 560-3196

Phone(619) 876-4502

Sole ProprietorYes

Enumeration DateApril 10, 2018

✔ NPI 1275030843 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Vocational NurseNursing Service Providers

Taxonomy Code164X00000X

Licenses✔ Licensed in CA · VN216427✔ Licensed in CA · 216427

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.

4309 3RD AVE, San Diego, CA 92103

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHELLE WILLIAMS RN

Registered Nurse (Psychiatric/Mental Health, Child & Adolescent)