Individual provider · Type 1 NPI

Marty Walter Iii, LVN

Licensed Vocational Nurse · Santa Ana, CA

NPI number 1104254994 Active

Practice location

550 N Flower St
Santa Ana, CA 92703-2361

Mailing address

914 S Sherrill St
Anaheim, CA 92804-4025

Specialties and licenses

TaxonomyCodeLicense
Licensed Vocational Nurse Primary 164X00000XVN205110 (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 1104254994

Marty Walter Iii, LVN's National Provider Identifier is 1104254994, issued on Oct 15, 2013. The primary taxonomy on file is Licensed Vocational Nurse (164X00000X), and the practice location is in Santa Ana, CA. The record was last updated on Oct 15, 2013.