Danielle Vail

Individual provider Active NPI Licensed Practical Nurse · Orcutt, CA

NPI 1962945196 · NPPES record last updated Nov 20, 2016

Key facts

NPI
1962945196
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
284409 (CA)
Practice address
230 S Pacific St
Orcutt, CA 93455-5229
Phone
(916) 765-1391
NPI assigned
Nov 20, 2016
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

LicenseStateTypeSpecialty
284409CAMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 284409 CA Yes

Addresses

Primary practice location

230 S Pacific St
Orcutt, CA 93455-5229

Mailing address

230 S Pacific St
Orcutt, CA 93455-5229
Phone (916) 765-1391

Other providers in Orcutt, CA

All providers in Orcutt, CA · Licensed Practical Nurse in California

Sources for this page

Verify at the official NPI Registry.