Individual provider · Type 1 NPI

Charisma Marie Clark, LVN

Licensed Vocational Nurse · Los Alamitos, CA

NPI number 1205191475 Active

Practice location

4281 Katella Ave Ste 120
Los Alamitos, CA 90720-3592

Specialties and licenses

TaxonomyCodeLicense
Licensed Vocational Nurse Primary 164X00000XVN209103 (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 1205191475

Charisma Marie Clark, LVN's National Provider Identifier is 1205191475, issued on Jul 12, 2012. The primary taxonomy on file is Licensed Vocational Nurse (164X00000X), and the practice location is in Los Alamitos, CA. The record was last updated on Jul 12, 2012.