Individual provider · Type 1 NPI

Samantha Fetterleigh

Licensed Vocational Nurse · Riverside, CA

NPI number 1013286608 Active

Practice location

1021 W La Cadena Dr
Riverside, CA 92501-1413

Call (951) 784-8010 Map

Mailing address

25445 Sunnymead Blvd Apt 160
Moreno Valley, CA 92553-4199

Specialties and licenses

TaxonomyCodeLicense
Licensed Vocational Nurse Primary 164X00000XVN259117 (CA)

Licensed Vocational Nurse: 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 difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job re…

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About NPI 1013286608

Samantha Fetterleigh's National Provider Identifier is 1013286608, issued on Dec 28, 2011. The primary taxonomy on file is Licensed Vocational Nurse (164X00000X), and the practice location is in Riverside, CA. The record was last updated on Dec 28, 2011.