Individual provider · Type 1 NPI

Evangeline Fogam, LVN

Licensed Vocational Nurse · Santa Cruz, CA

NPI number 1962956763 Active

Practice location

2250 Soquel Ave Ste 100
Santa Cruz, CA 95062-1402

Specialties and licenses

TaxonomyCodeLicense
Licensed Vocational Nurse Primary 164X00000X184229 (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 1962956763

Evangeline Fogam, LVN's National Provider Identifier is 1962956763, issued on Aug 9, 2016. The primary taxonomy on file is Licensed Vocational Nurse (164X00000X), and the practice location is in Santa Cruz, CA. The record was last updated on Aug 9, 2016.