Individual provider · Type 1 NPI
Hyyawatha Autrey, LVN
Nursing Care Agency · La Verne, CA
NPI number
1114679917
Active
Practice location
1867 Rock Ln
La Verne, CA 91750-2611
Fax (626) 213-0513
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nursing Care Agency Primary | 251J00000X | VN264443 (CA) |
Nursing Care Agency: A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services.
2 other providers at this address
About NPI 1114679917
Hyyawatha Autrey, LVN's National Provider Identifier is 1114679917, issued on Jan 22, 2022. The primary taxonomy on file is Nursing Care Agency (251J00000X), and the practice location is in La Verne, CA. The record was last updated on Jan 22, 2022.