Individual provider · Type 1 NPI

Mistie Eddie

Licensed Vocational Nurse · San Antonio, TX

NPI number 1659853166 Active

Practice location

8700 Crownhill Blvd Ste 300
San Antonio, TX 78209-1128

Call (210) 824-5530 Map

Mailing address

4630 Bernadine Dr
San Antonio, TX 78220-4747

Specialties and licenses

Taxonomy	Code	License
Licensed Vocational Nurse Primary	164X00000X	219531 (TX)

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 1659853166

Mistie Eddie's National Provider Identifier is 1659853166, issued on Aug 30, 2018. The primary taxonomy on file is Licensed Vocational Nurse (164X00000X), and the practice location is in San Antonio, TX. The record was last updated on Aug 30, 2018.