Charmaine Delores Breedlove in Modesto - Licensed Vocational Nurse

Charmaine Delores Breedlove - NPI 1205025137

Charmaine Delores Breedlove is a Licensed Vocational Nurse in Modesto, California. Charmaine Delores Breedlove practices all healthcare services and medical treatments related to Licensed Vocational Nurse. The NPI Number for Charmaine Delores Breedlove is 1205025137. The last update date is 2007-10-16.

Charmaine Delores Breedlove's current location address is 1301 Richland Ave Apt 345, Modesto, California. You can contact this provider via phone number 2095389984. The mailing address for Charmaine Delores Breedlove is 1301 Richland Ave Apt 345, Modesto, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Charmaine Delores Breedlove
Address 1301 Richland Ave Apt 345, Modesto, California
Phone Number 2095389984
Fax Number
Sole Proprietor N
Credentials LVN/LPN

NPI Number Detail

NPI Number 1205025137
Provider Enumeration Date 2007-10-16
Last Updated Date 2007-10-16

Provider Mailing Address Detail

Address 1301 Richland Ave Apt 345
City Modesto
State California (CA)
Post Code 953515023
Phone Number 2095389984
Fax Number

Provider's Primary Taxonomy Detail

Speciality Licensed Vocational Nurse
Taxonomy 164X00000X
Licence No VN212774
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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FAQs about Charmaine Delores Breedlove

What is the unique identifier code issued to Charmaine Delores Breedlove by the Centers for Medicare & Medicaid Services (CMS)?

The Charmaine Delores Breedlove has been assigned the NPI (National Provider Identifier) 1205025137. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you provide the complete address where Charmaine Delores Breedlove is physically located?

The Charmaine Delores Breedlove is situated at the following address: 1301 Richland Ave Apt 345, Modesto, CA 953515023.

What is Charmaine Delores Breedlove's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Charmaine Delores Breedlove's specialized field of practice is Licensed Vocational Nurse, and the corresponding taxonomy code that categorizes this area of specialization is 164X00000X.

On what date did the Charmaine Delores Breedlove receive the assignment of its 1205025137 from the Centers for Medicare & Medicaid Services?

The Charmaine Delores Breedlove was issued its 1205025137 by the Centers for Medicare & Medicaid Services on 2007-10-16.

As of what date were the details pertaining to Charmaine Delores Breedlove last refreshed?

The information related to the Charmaine Delores Breedlove, including its address, specialty, and other relevant details, was last updated on 2007-10-16.

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