Individual provider · Type 1 NPI
Elizabeth Ryan Vidovich, LVN
Licensed Practical Nurse · San Jose, CA
NPI number
1033543731
Active
Practice location
2540 Forest Ave
San Jose, CA 95117-1117
Fax (408) 642-5039
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | None listed |
| Licensed Practical Nurse Primary | 164W00000X | VN230370 (CA) |
| Licensed Psychiatric Technician | 167G00000X | VN203070 (CA) |
Licensed Practical 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. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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About NPI 1033543731
Elizabeth Ryan Vidovich, LVN's National Provider Identifier is 1033543731, issued on Aug 29, 2013. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in San Jose, CA. The record was last updated on Aug 29, 2013.