Individual provider · Type 1 NPI
Dusty Mark Shane Robello, LVN
Licensed Vocational Nurse · Danville, CA
Practice location
4675 Camino Tassajara
Danville, CA 94506-5904
Mailing address
631 Amberstone Ln
San Ramon, CA 94582-5741
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Vocational Nurse Primary | 164X00000X | 708488 (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…
About NPI 1508732280
Dusty Mark Shane Robello, LVN's National Provider Identifier is 1508732280, issued on Oct 11, 2025. The primary taxonomy on file is Licensed Vocational Nurse (164X00000X), and the practice location is in Danville, CA. The record was last updated on Oct 11, 2025.