Individual provider · Type 1 NPI

Brandan Chace Moroni

Licensed Vocational Nurse · Potter Valley, CA

NPI number 1790811073 Active

Practice location

9981 Spring Valley Rd
Potter Valley, CA 95469-9713

Mailing address

PO Box 2077
Ukiah, CA 95482-2077

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000X697568 (CA)
Case Manager/Care Coordinator 171M00000X697568 (CA)
Licensed Vocational Nurse Primary 164X00000X697568 (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 1790811073

Brandan Chace Moroni's National Provider Identifier is 1790811073, issued on Feb 23, 2007. The primary taxonomy on file is Licensed Vocational Nurse (164X00000X), and the practice location is in Potter Valley, CA. The record was last updated on Feb 14, 2020.