Individual provider · Type 1 NPI

Stacy Lee Grillo, LVN

Licensed Vocational Nurse · Yucaipa, CA

NPI number 1750723912 Active

Practice location

11503 Casa Blanca St
Yucaipa, CA 92399-9703

Call (951) 956-1688 Map

Mailing address

11053 Casa Blanca Ave
Yucaipa, CA 92399

Specialties and licenses

Taxonomy	Code	License
Licensed Vocational Nurse Primary	164X00000X	VN266011 (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 1750723912

Stacy Lee Grillo, LVN's National Provider Identifier is 1750723912, issued on Jul 29, 2013. The primary taxonomy on file is Licensed Vocational Nurse (164X00000X), and the practice location is in Yucaipa, CA. The record was last updated on Feb 17, 2026.