Individual provider · Type 1 NPI

Carly Ann Divino

Licensed Vocational Nurse · Santa Ana, CA

NPI number 1275122020 Active

Practice location

1207 E Fruit St
Santa Ana, CA 92701-4206

Mailing address

24436 Muela
Mission Viejo, CA 92692-2218

Specialties and licenses

TaxonomyCodeLicense
Licensed Vocational Nurse Primary 164X00000X693502 (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 1275122020

Carly Ann Divino's National Provider Identifier is 1275122020, issued on Jan 15, 2021. The primary taxonomy on file is Licensed Vocational Nurse (164X00000X), and the practice location is in Santa Ana, CA. The record was last updated on Jan 15, 2021.