Individual provider · Type 1 NPI

Andrea Bullock, LVN

Licensed Vocational Nurse · Fresno, CA

NPI number 1114406584 Active

Practice location

4441 E Kings Canyon Rd
Fresno, CA 93702-3604

Mailing address

6051 N Fresno St Ste 102
Fresno, CA 93710-5280

Specialties and licenses

TaxonomyCodeLicense
Licensed Vocational Nurse Primary 164X00000XVN687571 (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 1114406584

Andrea Bullock, LVN's National Provider Identifier is 1114406584, issued on Aug 7, 2018. The primary taxonomy on file is Licensed Vocational Nurse (164X00000X), and the practice location is in Fresno, CA. The record was last updated on Aug 7, 2018.