Individual provider · Type 1 NPI

Kelly Roe

Licensed Vocational Nurse · Orange, CA

NPI number 1457781304 Active

Practice location

401 S Tustin St, Building D
Orange, CA 92866-2550

Fax (714) 289-3938

Specialties and licenses

TaxonomyCodeLicense
Licensed Vocational Nurse Primary 164X00000X212212 (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 1457781304

Kelly Roe's National Provider Identifier is 1457781304, issued on Nov 13, 2013. The primary taxonomy on file is Licensed Vocational Nurse (164X00000X), and the practice location is in Orange, CA. The record was last updated on Nov 13, 2013.