Individual provider · Type 1 NPI

Imuetinyan Victoria Achonwa

Licensed Vocational Nurse · San Leandro, CA

NPI number 1114686532 Active

Practice location

15200 Foothill Blvd
San Leandro, CA 94578-1013

Specialties and licenses

TaxonomyCodeLicense
Licensed Vocational Nurse Primary 164X00000X275312 (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 1114686532

Imuetinyan Victoria Achonwa's National Provider Identifier is 1114686532, issued on Dec 13, 2021. The primary taxonomy on file is Licensed Vocational Nurse (164X00000X), and the practice location is in San Leandro, CA. The record was last updated on Oct 28, 2026.