Individual provider · Type 1 NPI

Garrett Michael Favreau

Licensed Vocational Nurse · Loma Linda, CA

NPI number 1427975465 Active

Practice location

11201 Benton St
Loma Linda, CA 92357-1000

Specialties and licenses

TaxonomyCodeLicense
Licensed Vocational Nurse Primary 164X00000X282890 (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 1427975465

Garrett Michael Favreau's National Provider Identifier is 1427975465, issued on Jul 1, 2026. The primary taxonomy on file is Licensed Vocational Nurse (164X00000X), and the practice location is in Loma Linda, CA. The record was last updated on Jul 1, 2026.