KEVIN JHORDAN MORENO VAZQUEZ
NPI 1801362165
Licensed Practical Nurse in Tacoma, WA
- Individual
- Male
- Licensed Practical Nurse
About KEVIN MORENO VAZQUEZ
This page provides the complete NPI Profile along with additional information for Kevin Moreno Vazquez, a provider established in Tacoma, Washington with a medical specialization in Licensed Practical Nurse. The healthcare provider is registered in the NPI registry with number 1801362165 assigned on October 2018. The practitioner's primary taxonomy code is 164W00000X with license number 337386 (TX). The provider is registered as an individual and his NPI record was last updated 8 years ago.
- NPI
- 1801362165 Verify this NPI
- Provider Name
- KEVIN JHORDAN MORENO VAZQUEZ
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 9040 JACKSON AVE ATTN: MCHJ-CLQ-C TACOMA, WA 98433
- Location Phone
- (253) 986-0982
- Mailing Address
- 767 141ST STREET CT S TACOMA, WA 98444
- Mailing Phone
- (678) 622-0318
- Is Sole Proprietor?
- No
- Enumeration Date
- 10-15-2018
- Last Update Date
- 10-15-2018
- Code Navigator
Location Map
Secondary Locations
- BLDG 3370 Evergreen Ave
tacoma, WA 98433
(253) 477-2766
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 Practical Nurse
- Taxonomy Code
- 164W00000X
- Type
- Nursing Service Providers
- License No.
- 337386
- License State
- TX
- Taxonomy Description
- A licensed practical 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. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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Other Providers at the Same Location
The following 8 providers are registered at the same or a nearby location.
TACOMA, WA 98433
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1801362165, enumerated as an "individual" on October 15, 2018.
The provider is located at 9040 JACKSON AVE ATTN: MCHJ-CLQ-C TACOMA, WA 98433 and the phone number is (253) 986-0982.
Licensed Practical Nurse with taxonomy code 164W00000X.
