Individual provider · Type 1 NPI
Joseph Mica Benavides
Licensed Practical Nurse · Oak Hills, CA
NPI number
1821587684
Active
Practice location
6425 Columbine Rd.
Oak Hills, CA 92344
Mailing address
6425 Columbine Rd
Oak Hills, CA 92344-0753
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | 116671 (AK) |
Licensed Practical 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. Requirements for education, experience, licensure, and job responsibilities vary among the states.
About NPI 1821587684
Joseph Mica Benavides's National Provider Identifier is 1821587684, issued on May 8, 2018. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Oak Hills, CA. The record was last updated on May 8, 2018.