Albertina Ballestero, LVN

Individual provider Active NPI Licensed Vocational Nurse · Pinedale, CA

NPI 1477853281 · NPPES record last updated Jun 6, 2012

Key facts

NPI
1477853281
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Vocational Nurse 164X00000X
License
237653 (CA)
Practice address
40 E Minarets Ave
Pinedale, CA 93650-1239
Phone
(559) 316-9957
NPI assigned
Oct 26, 2010
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
237653CAMDLicensed Vocational Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Vocational Nurse 164X00000X 237653 CA Yes

Addresses

Primary practice location

40 E Minarets Ave
Pinedale, CA 93650-1239

Mailing address

40 E. Minarets
Pinedale, CA 93650-2109
Phone (559) 316-9957

Other providers in Pinedale, CA

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

Sources for this page

Verify at the official NPI Registry.