Samantha Ann Bruno, LVN
Individual provider Active NPI Licensed Vocational Nurse · Ceres, CA
NPI 1295856029 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1295856029
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Vocational Nurse 164X00000X
- License
- VN217048 (CA)
- Practice address
- 1808 Poppy LN
Ceres, CA 95307-2227 - Phone
- (209) 538-4360
- NPI assigned
- Apr 2, 2007
- 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 |
|---|---|---|---|
| VN217048 | CA | MD | Licensed Vocational Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | VN217048 | CA | Yes |
Addresses
Primary practice location
1808 Poppy LN
Ceres, CA 95307-2227
Mailing address
PO Box 104
Ripon, CA 95366-0104
Phone (209) 838-6828
Other providers in Ceres, CA
- Shavontay Jenaye Brooks
- Daesha Brown
- Daniel Wayne Brown Jr.
- Garry Henry Brown
- Julia Lynette Brown
- Lorena Bugarin
- Maria de Los Angeles Buriel
- Angela M Byndon-Gregory
- Grace Ann Marie Cabral
- Jayson Cabuslay
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 Jul 8, 2007. 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.