Individual provider · Type 1 NPI
Keizl Ivan Davantes Jamie, RN
Case Management Registered Nurse · Laguna Niguel, CA
NPI number
1669388641
Active
Practice location
3 Trapani
Laguna Niguel, CA 92677-9009
Mailing address
322 Karen Ave Unit 207
Las Vegas, NV 89109-0413
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Case Management Registered Nurse Primary | 163WC0400X | 95356261 (CA) |
Case Management Registered Nurse: Definition to come...
About NPI 1669388641
Keizl Ivan Davantes Jamie, RN's National Provider Identifier is 1669388641, issued on Aug 20, 2026. The primary taxonomy on file is Case Management Registered Nurse (163WC0400X), and the practice location is in Laguna Niguel, CA. The record was last updated on Aug 20, 2026.