Individual provider · Type 1 NPI

Dusty Mark Shane Robello, LVN

Licensed Vocational Nurse · Danville, CA

NPI number 1508732280 Active

Practice location

4675 Camino Tassajara
Danville, CA 94506-5904

Mailing address

631 Amberstone Ln
San Ramon, CA 94582-5741

Specialties and licenses

TaxonomyCodeLicense
Licensed Vocational Nurse Primary 164X00000X708488 (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.