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RAVEN BETHANNIE AUDOMA-PETZEL
NPI 1720747165
Licensed Vocational Nurse in Riverside, CA

Active since December 13, 2021
2085 RUSTIN AVE STE 1, RIVERSIDE, CA 92507(951) 955-7320 Get Directions Write a Review

NPPES record last updated: December 13, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Raven Bethannie Audoma-petzel NPPES

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

RAVEN BETHANNIE AUDOMA-PETZEL (NPI 1720747165) is an individual licensed vocational nurse in Riverside, California, licensed in California (266168) and active in the NPI registry since December 2021.

NPPES Registry Identity

NPI1720747165
Entity TypeIndividualFemale
Primary Taxonomy164X00000X
Provider Legal NameRAVEN BETHANNIE AUDOMA-PETZEL
Location Address2085 RUSTIN AVE STE 1Riverside, CA 92507-2498
Mailing Address2085 Rustin Ave Ste 1Riverside, CA 92507-2498 · (951) 955-7320
Phone(951) 955-7320
Sole ProprietorNo
Enumeration DateDecember 13, 2021
NPPES CertifiedDecember 13, 2021
✔ NPI 1720747165 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 · 266168
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.
2085 RUSTIN AVE STE 1, Riverside, CA 92507
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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.

SHERRELL CLARK
Peer Specialist
2085 RUSTIN AVE STE 1
RIVERSIDE, CA 92507
Riverside County (951) 955-7320
JENNIFER YOUNG
Licensed Vocational Nurse
2085 RUSTIN AVE STE 1
RIVERSIDE, CA 92507
Riverside County (951) 955-7320
JENNIFER NORIEGA AMFT
Marriage & Family Therapist
2085 RUSTIN AVE STE 1
RIVERSIDE, CA 92507
Riverside County (951) 955-7320
JULIA PHEV
Peer Specialist
2085 RUSTIN AVE STE 1
RIVERSIDE, CA 92507
Riverside County (951) 955-7161
MS. LAUREN DANIELLE JIMENEZ
Counselor
2085 RUSTIN AVE STE 1
RIVERSIDE, CA 92507
Riverside County (951) 955-7320
ASHLEY HOUSLEY
Peer Specialist
2085 RUSTIN AVE STE 1
RIVERSIDE, CA 92507
Riverside County (951) 955-7320
JASMINE KASSANDRA MATA
Community Health Worker
2085 RUSTIN AVE STE 1
RIVERSIDE, CA 92507
Riverside County (951) 955-7320
JOSE FRANCISCO GARCIA
Rehabilitation Practitioner
2085 RUSTIN AVE STE 1
RIVERSIDE, CA 92507
Riverside County (951) 955-7320

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 Raven Audoma-petzel's NPI number?

The NPI number for Raven Audoma-petzel is 1720747165. It was assigned to this individual provider in the NPPES registry on December 13, 2021.

Where is Raven Audoma-petzel located?

Raven Audoma-petzel practices at 2085 Rustin Ave Ste 1, Riverside, CA 92507. The listed phone number is (951) 955-7320.

What is Raven Audoma-petzel'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 Raven Audoma-petzel was last updated on December 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.