Individual provider · Type 1 NPI

Nelson Domingo Miranda, LVN

Licensed Vocational Nurse · Pasadena, CA

NPI number 1083872204 Active

Practice location

2555 E Colorado Blvd, Suite 100
Pasadena, CA 91107-6622

Fax (626) 577-2543

Mailing address

PO Box 1292
Arcadia, CA 91077-1292

Specialties and licenses

TaxonomyCodeLicense
Licensed Vocational Nurse Primary 164X00000XVN224991 (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 1083872204

Nelson Domingo Miranda, LVN's National Provider Identifier is 1083872204, issued on May 23, 2008. The primary taxonomy on file is Licensed Vocational Nurse (164X00000X), and the practice location is in Pasadena, CA. The record was last updated on May 23, 2008.