Individual provider · Type 1 NPI

Shanise Latoya Smith

Licensed Vocational Nurse · Redlands, CA

NPI number 1104731504 Active

Practice location

26001 Redlands Blvd
Redlands, CA 92373-7762

Specialties and licenses

TaxonomyCodeLicense
Licensed Vocational Nurse Primary 164X00000XVN217850 (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 1104731504

Shanise Latoya Smith's National Provider Identifier is 1104731504, issued on Aug 18, 2026. The primary taxonomy on file is Licensed Vocational Nurse (164X00000X), and the practice location is in Redlands, CA. The record was last updated on Aug 18, 2026.