Christal La Shawn Fennell in Rancho Cucamonga - Licensed Vocational Nurse
Christal La Shawn Fennell - NPI 1568687275
Christal La Shawn Fennell is a Licensed Vocational Nurse in Rancho Cucamonga, California. Christal La Shawn Fennell practices all healthcare services and medical treatments related to Licensed Vocational Nurse. The NPI Number for Christal La Shawn Fennell is 1568687275. The last update date is 2007-07-08.
Christal La Shawn Fennell's current location address is 10935 Terra Vista Pkwy Apt 83, Rancho Cucamonga, California. You can contact this provider via phone number 9094843968. The mailing address for Christal La Shawn Fennell is 10935 Terra Vista Pkwy Apt 83, Rancho Cucamonga, California. To know further, please read the information below!
Provider Profile Detail
Provider Name | Christal La Shawn Fennell |
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Address | 10935 Terra Vista Pkwy Apt 83, Rancho Cucamonga, California |
Phone Number | 9094843968 |
Fax Number | |
Sole Proprietor | Y |
Credentials | LVN |
NPI Number Detail
NPI Number | 1568687275 |
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Provider Enumeration Date | 2007-04-16 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 10935 Terra Vista Pkwy Apt 83 |
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City | Rancho Cucamonga |
State | California (CA) |
Post Code | 917306348 |
Phone Number | 9094843968 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Licensed Vocational Nurse |
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Taxonomy | 164X00000X |
Licence No | VN220919 |
Definition: An individual 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 |
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What is the unique 10-digit identifier code assigned to Christal La Shawn Fennell by the Centers for Medicare & Medicaid Services?
The Christal La Shawn Fennell has been issued the NPI (National Provider Identifier) 1568687275 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Christal La Shawn Fennell?
The Christal La Shawn Fennell is physically situated at 10935 Terra Vista Pkwy Apt 83, in the city of Rancho Cucamonga, state of CA, with the postal code 917306348.
What is Christal La Shawn Fennell's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Christal La Shawn Fennell is Licensed Vocational Nurse, and the corresponding taxonomy classification code for this specialized field is 164X00000X.
On what date was the 1568687275 assigned to Christal La Shawn Fennell?
The Christal La Shawn Fennell was issued its 1568687275 on 2007-04-16, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Christal La Shawn Fennell, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Christal La Shawn Fennell, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.
NPI Number: 1982607784
Address: 54045 Ridge Rd, Yucca Valley, CA