Remy Boyal
Individual provider Active NPI Licensed Vocational Nurse · Ceres, CA
NPI 1083094973 · NPPES record last updated Jun 4, 2015
Key facts
- NPI
- 1083094973
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Vocational Nurse 164X00000X
- License
- VN 286582 (CA)
- Practice address
- 1904 Richland Ave
Ceres, CA 95307-4562 - Phone
- (209) 300-8800
- NPI assigned
- Jun 4, 2015
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| VN 286582 | CA | MD | Licensed Vocational Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | VN 286582 | CA | Yes |
Addresses
Primary practice location
1904 Richland Ave
Ceres, CA 95307-4562
Mailing address
513 Fort Sumpter Dr
Modesto, CA 95354-2112
Phone (209) 818-5799
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| F1376961 | Medicaid | CA |
Other providers in Ceres, CA
- Latoya Shaday Blocker
- Catalina Bocanegra
- Kayla Marie Bonzi
- David Jason Border
- Matthew Troy Bovenkerk
- Ana-Karen Brambila
- Joel Brambila I
- Adrian Bravo
- Kristina Brenner
- James F Briggs
All providers in Ceres, CA · Licensed Vocational Nurse in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 4, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.