Individual provider · Type 1 NPI

Tamara Ellstrom, LVN

Licensed Vocational Nurse · San Luis Obispo, CA

NPI number 1205721065 Active

Practice location

784 High St
San Luis Obispo, CA 93401-5243

Call (805) 540-6500 Map

Mailing address

PO Box 15408
San Luis Obispo, CA 93406-5408

Specialties and licenses

TaxonomyCodeLicense
Licensed Vocational Nurse Primary 164X00000X215041 (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 1205721065

Tamara Ellstrom, LVN's National Provider Identifier is 1205721065, issued on Jun 11, 2025. The primary taxonomy on file is Licensed Vocational Nurse (164X00000X), and the practice location is in San Luis Obispo, CA. The record was last updated on Jun 11, 2025.