Individual provider · Type 1 NPI
Beverly Cruz Menjivar
Licensed Practical Nurse · Auburn, WA
NPI number
1043090061
Active
Practice location
3320 Auburn Way N
Auburn, WA 98002-1805
Fax (253) 999-5740
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | MENJ455636 (WA) |
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 1043090061
Beverly Cruz Menjivar's National Provider Identifier is 1043090061, issued on Oct 5, 2023. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Auburn, WA. The record was last updated on Oct 5, 2023.