Individual provider · Type 1 NPI
Michelle Marlys South, LVN
Licensed Vocational Nurse · Boulder Creek, CA
Practice location
18285 China Grade Rd, #3
Boulder Creek, CA 95006-9188
Mailing address
18285 China Grade Rd Spc 3
Boulder Creek, CA 95006-9100
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Vocational Nurse Primary | 164X00000X | 220999 (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 1699045450
Michelle Marlys South, LVN's National Provider Identifier is 1699045450, issued on Jan 10, 2012. The primary taxonomy on file is Licensed Vocational Nurse (164X00000X), and the practice location is in Boulder Creek, CA. The record was last updated on Jan 10, 2012.