Donna Brown
Individual provider Active NPI Licensed Vocational Nurse · Pacoima, CA
NPI 1982139515 · NPPES record last updated Apr 20, 2017
Key facts
- NPI
- 1982139515
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Vocational Nurse 164X00000X
- License
- VN168410 (CA)
- Practice address
- 12450 Van Nuys Blvd
200
Pacoima, CA 91331-1391 - Phone
- (818) 896-1161
- Fax
- (818) 896-5069
- NPI assigned
- Apr 20, 2017
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| VN168410 | CA | MD | Licensed Vocational Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | VN168410 | CA | Yes |
Addresses
Primary practice location
12450 Van Nuys Blvd
200
Pacoima, CA 91331-1391
Mailing address
12450 Van Nuys Blvd
200
Pacoima, CA 91331-1391
Phone (818) 896-1161
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6758 | Medicaid | CA | |
| 7068 | Medicaid | CA | |
| 7420 | Medicaid | CA |
Other providers in Pacoima, CA
- Arden Boykin
- Carol Bradley
- Elizabeth Dianne Bragg-Hamilton
- Eric Bridges
- Donald Brosseau Jr.
- Iyonna Brown
- Phyllis Brown
- Christine Buda
- Minh Thi Bui
- Tammy M. Burgin
All providers in Pacoima, CA · Licensed Vocational Nurse in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 20, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.