Individual provider · Type 1 NPI
Evelina Crownover
Licensed Practical Nurse · Ukiah, CA
NPI number
1992601520
Active
Practice location
630 Kings Ct
Ukiah, CA 95482-5003
Mailing address
425 Lake Mendocino Dr
Ukiah, CA 95482-9433
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | VN192995 (CA) |
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.
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About NPI 1992601520
Evelina Crownover's National Provider Identifier is 1992601520, issued on Oct 19, 2026. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Ukiah, CA. The record was last updated on Oct 19, 2026.