Roshally Elvy Hutabarat in San Bernardino - Licensed Vocational Nurse
Roshally Elvy Hutabarat - NPI 1679760573
Roshally Elvy Hutabarat is a Licensed Vocational Nurse in San Bernardino, California. Roshally Elvy Hutabarat practices all healthcare services and medical treatments related to Licensed Vocational Nurse. The NPI Number for Roshally Elvy Hutabarat is 1679760573. The last update date is 2007-09-25.
Roshally Elvy Hutabarat's current location address is 264 E 18th St, San Bernardino, California. You can contact this provider via phone number 9098830288. The mailing address for Roshally Elvy Hutabarat is 264 E 18th St, San Bernardino, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Roshally Elvy Hutabarat |
|---|---|
| Address | 264 E 18th St, San Bernardino, California |
| Phone Number | 9098830288 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LVN |
NPI Number Detail
| NPI Number | 1679760573 |
|---|---|
| Provider Enumeration Date | 2007-09-25 |
| Last Updated Date | 2007-09-25 |
Provider Mailing Address Detail
| Address | 264 E 18th St |
|---|---|
| City | San Bernardino |
| State | California (CA) |
| Post Code | 924044708 |
| Phone Number | 9098830288 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Licensed Vocational Nurse |
|---|---|
| Taxonomy | 164X00000X |
| Licence No | VA 209395 |
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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 identifier code issued to Roshally Elvy Hutabarat by the Centers for Medicare & Medicaid Services?
The Roshally Elvy Hutabarat has been assigned the NPI (National Provider Identifier) 1679760573. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Roshally Elvy Hutabarat is located?
The Roshally Elvy Hutabarat is situated at the following address: 264 E 18Th St, San Bernardino, CA, 924044708.
What is Roshally Elvy Hutabarat's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Roshally Elvy Hutabarat is Licensed Vocational Nurse, and the taxonomy code that classifies this field of practice is 164X00000X.
When did Roshally Elvy Hutabarat receive its 1679760573 assignment?
The Roshally Elvy Hutabarat was assigned its 1679760573 on 2007-09-25, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to Roshally Elvy Hutabarat last refreshed?
The information related to the Roshally Elvy Hutabarat, including its address, specialty, and other relevant details, was last updated on 2007-09-25.