Individual provider · Type 1 NPI
Brandon Omar Costilla
Licensed Vocational Nurse · Stephenville, TX
Practice location
2251 W Lingleville Rd Apt 24B
Stephenville, TX 76401-6008
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Vocational Nurse Primary | 164X00000X | 337342 (TX) |
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 1992266126
Brandon Omar Costilla's National Provider Identifier is 1992266126, issued on Mar 29, 2019. The primary taxonomy on file is Licensed Vocational Nurse (164X00000X), and the practice location is in Stephenville, TX. The record was last updated on Mar 29, 2019.