Carol Sundell

Individual provider Active NPI Licensed Vocational Nurse · Ione, CA

NPI 1982185476 · NPPES record last updated Aug 23, 2018

Key facts

NPI
1982185476
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Vocational Nurse 164X00000X
License
VN698087 (CA)
Practice address
325 S Sacramento St
Ione, CA 95640-9172
Phone
(707) 290-3236
NPI assigned
Aug 23, 2018
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
VN698087CAMDLicensed Vocational Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Vocational Nurse 164X00000X VN698087 CA Yes

Addresses

Primary practice location

325 S Sacramento St
Ione, CA 95640-9172

Mailing address

325 S Sacramento St
Ione, CA 95640-9172

Other providers in Ione, CA

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

Sources for this page

Verify at the official NPI Registry.