Individual provider · Type 1 NPI

Holis Gardner

Licensed Vocational Nurse · Lake Elsinore, CA

NPI number 1811368806 Active

Practice location

31764 Casino Dr, Ste 300
Lake Elsinore, CA 92530-4571

Fax (951) 471-4687

Specialties and licenses

Taxonomy	Code	License
Licensed Vocational Nurse Primary	164X00000X	260944 (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 1811368806

Holis Gardner's National Provider Identifier is 1811368806, issued on Oct 15, 2015. The primary taxonomy on file is Licensed Vocational Nurse (164X00000X), and the practice location is in Lake Elsinore, CA. The record was last updated on Oct 15, 2015.