Carolyn Appeal

Individual provider Active NPI Licensed Vocational Nurse · Ceres, CA

NPI 1962953893 · NPPES record last updated Aug 1, 2018

Key facts

NPI
1962953893
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Vocational Nurse 164X00000X
License
283757 (CA)
Practice address
1904 Richland Ave
Ceres, CA 95307
Phone
(209) 300-8800
NPI assigned
Oct 15, 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
283757CAMDLicensed Vocational Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Vocational Nurse 164X00000X 283757 CA Yes

Addresses

Primary practice location

1904 Richland Ave
Ceres, CA 95307

Mailing address

1904 Richland Ave
Ceres, CA 95307-4562
Phone (209) 300-8800

Other practice location 1

5721 Cornerstone Dr
Riverbank, CA 95367-9596
Phone (510) 706-9352

Other providers in Ceres, CA

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

Sources for this page

Verify at the official NPI Registry.