Maryann Prince, LVN

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

275588 Issued in CA

Practice address

1202 Apollo Way
Santa Rosa, CA 95407-6777

Phone

(707) 565-4300

NPI assigned

Sep 24, 2024

Last updated

Sep 24, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Maryann White Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1727136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727136000000",
    "number": "1912724550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8974 FAIRWAY DR",
            "city": "KELSEYVILLE",
            "state": "CA",
            "postal_code": "954519561",
            "telephone_number": "707-791-6882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 APOLLO WAY",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954076777",
            "telephone_number": "707-565-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRINCE",
        "first_name": "MARYANN",
        "credential": "LVN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-24",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "275588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARYANN",
            "last_name": "WHITE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Stacy Ann Price
• Priceless Transport Care LLC
• Matthew Barry Pride, MD
• Primary Care Associates of the Redwood Empire Medical Group, Inc.
• Primecare Medical Group, Inc.
• Seth Scot Pringle
• Jesse Ben Priolo, CRNA
• Marielena Josephina Prior
• Brian Pritchard, DO
• Thea A. Privette, MA, MFTI

• Licensed Vocational Nurse in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Licensed Vocational Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.