Individual provider · Type 1 NPI
Lillie Ruth Fennell, REGISTERED NURSE
Registered Nurse · Rialto, CA
Practice location
1554 N Idyllwild Ave
Rialto, CA 92376-3159
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse Primary | 163W00000X | 462743 (CA) |
Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…
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About NPI 1104247402
Lillie Ruth Fennell, REGISTERED NURSE's National Provider Identifier is 1104247402, issued on Jan 4, 2014. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Rialto, CA. The record was last updated on Jan 4, 2014.