MRS. ROSHALLY ELVY HUTABARAT LVN
NPI 1679760573
Licensed Vocational Nurse in San Bernardino, CA

Q: What is Roshally Hutabarat's NPI number?

The NPI number for Roshally Hutabarat is 1679760573. It was assigned to this individual provider in the NPPES registry on September 25, 2007.

Q: What is Roshally Hutabarat's specialty?

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

Active since September 25, 2007

264 E 18TH ST, SAN BERNARDINO, CA 92404(909) 883-0288 Get Directions Write a Review

NPPES record last updated: September 25, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mrs. Roshally Elvy Hutabarat Lvn NPPES

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

MRS. ROSHALLY ELVY HUTABARAT LVN (NPI 1679760573) is an individual licensed vocational nurse in San Bernardino, California, licensed in California (VA 209395) and active in the NPI registry since September 2007.

NPPES Registry Identity

NPI1679760573

Entity TypeIndividualFemale

Primary Taxonomy164X00000X

Provider Legal NameMRS. ROSHALLY ELVY HUTABARATCredential: LVN

Location Address264 E 18TH STSan Bernardino, CA 92404-4708

Mailing Address25502 Portola LoopLoma Linda, CA 92354 · (909) 796-2303

Phone(909) 883-0288

Sole ProprietorYes

Enumeration DateSeptember 25, 2007

✔ NPI 1679760573 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 · VA 209395

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.

264 E 18TH ST, San Bernardino, CA 92404

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Roshally Hutabarat's NPI number?

The NPI number for Roshally Hutabarat is 1679760573. It was assigned to this individual provider in the NPPES registry on September 25, 2007.

Where is Roshally Hutabarat located?

Roshally Hutabarat practices at 264 E 18th St, San Bernardino, CA 92404. The listed phone number is (909) 883-0288.

What is Roshally Hutabarat's specialty?

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

When was this NPI record last updated?

The NPPES record for Roshally Hutabarat was last updated on September 25, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.