Individual provider · Type 1 NPI

Grace Puddoc Wilbur, LVN

Licensed Vocational Nurse · San Pedro, CA

NPI number 1023280534 Active

Practice location

921 S Beacon St
San Pedro, CA 90731-3740

Specialties and licenses

Taxonomy	Code	License
Licensed Vocational Nurse Primary	164X00000X	VN139298 (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 1023280534

Grace Puddoc Wilbur, LVN's National Provider Identifier is 1023280534, issued on Mar 25, 2008. The primary taxonomy on file is Licensed Vocational Nurse (164X00000X), and the practice location is in San Pedro, CA. The record was last updated on Mar 25, 2008.