Individual provider · Type 1 NPI
Glenn Petillo
Nurse's Aide · Anza, CA
Practice location
37802 Fischer Rd
Anza, CA 92539-9203
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse's Aide Primary | 376K00000X | 00903914 (CA) |
| Home Health Aide | 374U00000X | 00270053 (CA) |
Nurse's Aide: (1) An unlicensed individual who is trained to function in an assistive role to the licensed nurse in the provision of patient/client activities as delegated by the nurse; (2) An individual trained (either on-the-job or through a formal course generally of less than one year) and experienced in performing patient or client-care nursing tasks that do not require the skills of a specialist, technician, or professional…
About NPI 1770936635
Glenn Petillo's National Provider Identifier is 1770936635, issued on Jul 15, 2016. The primary taxonomy on file is Nurse's Aide (376K00000X), and the practice location is in Anza, CA. The record was last updated on Jul 15, 2016.