AMANDA ROSELLE GROAH LVN
NPI 1689338444
Licensed Vocational Nurse in Tulare, CA

Active since October 27, 2021
1816 DURANGO CT, TULARE, CA 93274(559) 368-8926 Get Directions Write a Review

NPPES record last updated: October 27, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Female
  • Licensed Vocational Nurse

About AMANDA GROAH

This page provides the complete NPI Profile along with additional information for Amanda Groah, a provider established in Tulare, California with a medical specialization in Licensed Vocational Nurse. The healthcare provider is registered in the NPI registry with number 1689338444 assigned on October 2021. The practitioner's primary taxonomy code is 164X00000X with license number 210077 (CA). The provider is registered as an individual and her NPI record was last updated 5 years ago.

NPI
1689338444 Verify this NPI
Provider Name
AMANDA ROSELLE GROAH LVN
Other Name
MRS. AMANDA ROSELLE BAUGUS LVN
Other Name Type
Other Name (5)
Gender
Female
Entity Type
Individual
Location Address
1816 DURANGO CT TULARE, CA 93274
Location Phone
(559) 368-8926
Mailing Address
1816 DURANGO CT TULARE, CA 93274
Mailing Phone
(559) 368-8926
Is Sole Proprietor?
Yes
Enumeration Date
10-27-2021
Last Update Date
10-27-2021
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Licensed Vocational Nurse

Taxonomy Code
164X00000X
Type
Nursing Service Providers
License No.
210077
License State
CA
Taxonomy Description
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.

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1689338444, enumerated as an "individual" on October 27, 2021.

The provider is located at 1816 DURANGO CT TULARE, CA 93274 and the phone number is (559) 368-8926.

Licensed Vocational Nurse with taxonomy code 164X00000X.