Individual provider · Type 1 NPI
Jerome Untalan Ancheta
Licensed Vocational Nurse · Redlands, CA
Practice location
26001 Redlands Blvd
Redlands, CA 92373-7762
Mailing address
5231 Eureka Ave
Banning, CA 92220-1324
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Vocational Nurse Primary | 164X00000X | 709310 (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 1396651402
Jerome Untalan Ancheta's National Provider Identifier is 1396651402, issued on Aug 19, 2026. The primary taxonomy on file is Licensed Vocational Nurse (164X00000X), and the practice location is in Redlands, CA. The record was last updated on Aug 20, 2026.