Patricia Eason

Individual provider Active NPI Licensed Vocational Nurse · Stanton, CA

NPI 1629560412 · NPPES record last updated Jun 6, 2018

Key facts

NPI
1629560412
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Vocational Nurse 164X00000X
License
VN180889 (CA)
Practice address
10751 Dale Ave
Stanton, CA 90680-2604
Phone
(714) 821-5311
NPI assigned
Jun 6, 2018
Sex
Female
Sole proprietor
Yes

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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
VN180889CAMDLicensed Vocational Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Western Pacific Med-Corp Past Accepting new patients
Western Pacific Med-Corp Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Vocational Nurse 164X00000X VN180889 CA Yes

Addresses

Primary practice location

10751 Dale Ave
Stanton, CA 90680-2604

Mailing address

10751 Dale Ave
Stanton, CA 90680-2604
Phone (714) 821-5311

Other providers in Stanton, CA

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

Sources for this page

Verify at the official NPI Registry.