Individual provider · Type 1 NPI

Ivan Martin

Licensed Vocational Nurse · El Centro, CA

NPI number 1215409941 Active

Practice location

200 S 5th St
El Centro, CA 92243-3013

Call (760) 482-0864 Map

Mailing address

173 Driftwood Dr
El Centro, CA 92243-4593

Specialties and licenses

TaxonomyCodeLicense
Licensed Vocational Nurse Primary 164X00000X701236 (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 1215409941

Ivan Martin's National Provider Identifier is 1215409941, issued on Dec 19, 2018. The primary taxonomy on file is Licensed Vocational Nurse (164X00000X), and the practice location is in El Centro, CA. The record was last updated on Dec 19, 2018.