Individual provider · Type 1 NPI
Ivy Marie Mora
Licensed Vocational Nurse · San Jose, CA
Practice location
4850 Union Ave
San Jose, CA 95124-5156
Fax (408) 559-3158
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Vocational Nurse Primary | 164X00000X | 762915 (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 1083519029
Ivy Marie Mora's National Provider Identifier is 1083519029, issued on Oct 9, 2026. The primary taxonomy on file is Licensed Vocational Nurse (164X00000X), and the practice location is in San Jose, CA. The record was last updated on Oct 9, 2026.