Jill Cathleen Charney, LVN

Individual provider Active NPI Licensed Vocational Nurse · Altadena, CA

NPI 1013049899 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1013049899
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Vocational Nurse 164X00000X
License
VN 194387 (CA)
Practice address
2933 El Nido Dr
Altadena, CA 91001-4529
Phone
(626) 395-7100
Fax
(626) 798-2863
NPI assigned
Mar 9, 2007
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
VN 194387CAMDLicensed Vocational Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Vocational Nurse 164X00000X VN 194387 CA Yes

Addresses

Primary practice location

2933 El Nido Dr
Altadena, CA 91001-4529

Mailing address

2933 El Nido Dr
Altadena, CA 91001-4529
Phone (626) 395-7100

Other identifiers

IdentifierTypeStateIssuer
C009660OtherCASTAFF CODE

Other providers in Altadena, CA

All providers in Altadena, CA · Licensed Vocational Nurse in California

Sources for this page

Verify at the official NPI Registry.