Olga Devitt, LVN
Individual provider Active NPI Licensed Vocational Nurse · Ladera Ranch, CA
NPI 1164032579 · NPPES record last updated Aug 1, 2020
Key facts
- NPI
- 1164032579
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Vocational Nurse 164X00000X
- License
- 181256 (CA)
- Practice address
- 2000 Corporate Dr Apt 901
Ladera Ranch, CA 92694-1118 - Phone
- (949) 429-9713
- NPI assigned
- Aug 1, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 181256 | CA | MD | Licensed Vocational Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | 181256 | CA | Yes |
Addresses
Primary practice location
2000 Corporate Dr Apt 901
Ladera Ranch, CA 92694-1118
Mailing address
25214 Clemens LN
Lake Forest, CA 92630-4103
Phone (949) 395-4877
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| B7322796 | Other | CA | DRIVERS LICENSE |
Other providers in Ladera Ranch, CA
- Dominique D'Orazi
- David McCann DDS Inc
- Saira Davila
- Miranda Faith De Luna
- Matthew Devine
- Jill Christine Dews
- Jaime Adelynn Diaz
- Anna Virginia Dieckmeyer
- Allen M. Doezie
- Dr. Soheyla Marzvaan PC
All providers in Ladera Ranch, 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 Aug 1, 2020. 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.