Individual provider · Type 1 NPI

Tyler Dalton Fernandez I, LVN

Licensed Vocational Nurse · Grass Valley, CA

NPI number 1508623059 Active

Practice location

11761 Ridge Rd
Grass Valley, CA 95945-5025

Call (530) 273-4431 Map

Fax (530) 272-1512

Specialties and licenses

TaxonomyCodeLicense
Licensed Vocational Nurse Primary 164X00000X700729 (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 1508623059

Tyler Dalton Fernandez I, LVN's National Provider Identifier is 1508623059, issued on Mar 1, 2024. The primary taxonomy on file is Licensed Vocational Nurse (164X00000X), and the practice location is in Grass Valley, CA. The record was last updated on Mar 1, 2024.