Individual provider · Type 1 NPI

Coulsander Johnson

Licensed Vocational Nurse · Long Beach, CA

NPI number 1013396340 Active

Practice location

2090 Myrtle Ave
Long Beach, CA 90806-4932

Fax (562) 247-1822

Specialties and licenses

Taxonomy	Code	License
Home Health Agency	251E00000X	None listed
Home Health Aide	374U00000X	None listed
Licensed Vocational Nurse Primary	164X00000X	VN192615 (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 1013396340

Coulsander Johnson's National Provider Identifier is 1013396340, issued on May 19, 2015. The primary taxonomy on file is Licensed Vocational Nurse (164X00000X), and the practice location is in Long Beach, CA. The record was last updated on Dec 31, 2019.