Violeta Ambrocio

Individual provider Active NPI Licensed Vocational Nurse · El Centro, CA

NPI 1497097463 · NPPES record last updated Mar 18, 2013

Key facts

NPI
1497097463
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Vocational Nurse 164X00000X
License
266343 (CA)
Practice address
1115 N Imperial Ave
El Centro, CA 92243-1739
Phone
(760) 336-4647
NPI assigned
Mar 18, 2013
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
266343CAMDLicensed Vocational Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Vocational Nurse 164X00000X 266343 CA Yes

Addresses

Primary practice location

1115 N Imperial Ave
El Centro, CA 92243-1739

Mailing address

538 Orange Ave Apt 3
Holtville, CA 92250-1278

Other providers in El Centro, CA

All providers in El Centro, CA · Licensed Vocational Nurse in California

Sources for this page

Verify at the official NPI Registry.