Individual provider · Type 1 NPI

Annica Dawn Pagenkopp

Licensed Vocational Nurse · Red Bluff, CA

NPI number 1720778459 Active

Practice location

102 Chestnut Ave
Red Bluff, CA 96080-2205

Mailing address

PO Box 400
Red Bluff, CA 96080-0400

Specialties and licenses

TaxonomyCodeLicense
Licensed Vocational Nurse Primary 164X00000X693431 (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 1720778459

Annica Dawn Pagenkopp's National Provider Identifier is 1720778459, issued on May 8, 2023. The primary taxonomy on file is Licensed Vocational Nurse (164X00000X), and the practice location is in Red Bluff, CA. The record was last updated on May 8, 2023.