Individual provider · Type 1 NPI

Raven Bethannie Audoma-Petzel

Licensed Vocational Nurse · Riverside, CA

NPI number 1720747165 Active

Practice location

2085 Rustin Ave Ste 1
Riverside, CA 92507-2498

Specialties and licenses

TaxonomyCodeLicense
Licensed Vocational Nurse Primary 164X00000X266168 (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 1720747165

Raven Bethannie Audoma-Petzel's National Provider Identifier is 1720747165, issued on Dec 13, 2021. The primary taxonomy on file is Licensed Vocational Nurse (164X00000X), and the practice location is in Riverside, CA. The record was last updated on Dec 13, 2021.