Individual provider · Type 1 NPI

Shannon Martin, LVN

Licensed Vocational Nurse · Moreno Valley, CA

NPI number 1952846537 Active

Practice location

22346 Hawthorn Ave
Moreno Valley, CA 92553-6988

Mailing address

23580 Alessandro Blvd Unit 9307
Moreno Valley, CA 92552-6128

Specialties and licenses

TaxonomyCodeLicense
Licensed Vocational Nurse Primary 164X00000X266499 (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 1952846537

Shannon Martin, LVN's National Provider Identifier is 1952846537, issued on Jan 5, 2017. The primary taxonomy on file is Licensed Vocational Nurse (164X00000X), and the practice location is in Moreno Valley, CA. The record was last updated on Jan 5, 2017.