Individual provider · Type 1 NPI
Petrie Odetta Rice
Licensed Practical Nurse · Sylmar, CA
NPI number
1497044051
Active
Practice location
14152 Foothill Blvd., #3
Sylmar, CA 91342
Mailing address
14152 Foothill Blvd, #3
Sylmar, CA 91342-8000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | VN167990 (CA) |
Licensed Practical 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. Requirements for education, experience, licensure, and job responsibilities vary among the states.
About NPI 1497044051
Petrie Odetta Rice's National Provider Identifier is 1497044051, issued on Apr 5, 2011. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Sylmar, CA. The record was last updated on Apr 5, 2011.