Healthcare Provider Details

I. General information

NPI: 1760851554
Provider Name (Legal Business Name): APRIL CARO LVN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/22/2015
Last Update Date: 09/22/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

40 E MINARETS AVE
PINEDALE CA
93650-1239
US

IV. Provider business mailing address

40 E MINARETS AVE
PINEDALE CA
93650-1239
US

V. Phone/Fax

Practice location:
  • Phone: 559-436-0482
  • Fax: 559-436-4250
Mailing address:
  • Phone: 559-436-0482
  • Fax: 559-436-4250

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164X00000X
TaxonomyLicensed Vocational Nurse
License NumberVN291029
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: