Individual provider · Type 1 NPI

Angel Chandra

Licensed Vocational Nurse · Eureka, CA

NPI number 1639618465 Active

Practice location

720 Wood St
Eureka, CA 95501-4413

Mailing address

1825 Lifetime Dr
Modesto, CA 95355-2665

Other practice locations

  • 1825 Lifetime Dr, Modesto, CA 95355-2665 · (209) 541-8722

Specialties and licenses

TaxonomyCodeLicense
Licensed Vocational Nurse Primary 164X00000XPN687860 (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 1639618465

Angel Chandra's National Provider Identifier is 1639618465, issued on Feb 13, 2017. The primary taxonomy on file is Licensed Vocational Nurse (164X00000X), and the practice location is in Eureka, CA. The record was last updated on Jun 30, 2021.