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HOLIS GARDNER
NPI 1811368806
Licensed Vocational Nurse in Lake Elsinore, CA

Active since October 15, 2015
31764 CASINO DR, STE 300, LAKE ELSINORE, CA 92530(951) 471-4645(951) 471-4687 Get Directions Write a Review

NPPES record last updated: October 15, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Holis Gardner NPPES

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

HOLIS GARDNER (NPI 1811368806) is an individual licensed vocational nurse in Lake Elsinore, California, licensed in California (260944) and active in the NPI registry since October 2015.

NPPES Registry Identity

NPI1811368806
Entity TypeIndividualFemale
Primary Taxonomy164X00000X
Provider Legal NameHOLIS GARDNER
Location Address31764 CASINO DR, STE 300Lake Elsinore, CA 92530-4571
Mailing Address31764 Casino Dr, Ste 300Lake Elsinore, CA 92530-4571 · (951) 471-4645 · Fax (951) 471-4687
Phone(951) 471-4645
Fax(951) 471-4687
Sole ProprietorYes
Enumeration DateOctober 15, 2015
✔ NPI 1811368806 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 · 260944
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.
31764 CASINO DR, Lake Elsinore, CA 92530
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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.

JAMELA LAVINA BARBER DPT
Physical Therapist
31764 CASINO DR, SUITE 106
LAKE ELSINORE, CA 92530
Riverside County (951) 471-3300
VALENCIA J TURNER
Social Worker (Clinical)
31764 CASINO DR
LAKE ELSINORE, CA 92530
Riverside County (951) 471-4649
JANAZ GHADIALI DPT
Physical Therapist
31764 CASINO DR, SUITE 106A
LAKE ELSINORE, CA 92530
Riverside County (951) 471-3300
HANIEH AMOOZEGAR PT
Physical Therapist
31764 CASINO DR
LAKE ELSINORE, CA 92530
Riverside County (951) 674-9515
ILSE QUIROZ
Peer Specialist
31764 CASINO DR, STE 300
LAKE ELSINORE, CA 92530
Riverside County (951) 471-4645
MARISOL CANETT LVN
Licensed Vocational Nurse
31764 CASINO DR
LAKE ELSINORE, CA 92530
Riverside County (951) 471-4600
KATHRYN ROBBINS
Peer Specialist
31764 CASINO DR, STE 300
LAKE ELSINORE, CA 92530
Riverside County (951) 471-4645
LATASHA FULLER
Clinic/Center (Adult Mental Health)
31764 CASINO DR
LAKE ELSINORE, CA 92530
Riverside County (951) 471-4645

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 Holis Gardner's NPI number?

The NPI number for Holis Gardner is 1811368806. It was assigned to this individual provider in the NPPES registry on October 15, 2015.

Where is Holis Gardner located?

Holis Gardner practices at 31764 Casino Dr Ste 300, Lake Elsinore, CA 92530. The listed phone number is (951) 471-4645.

What is Holis Gardner'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 Holis Gardner was last updated on October 15, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.