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Tyler Dalton Fernandez I, LVN
Licensed Vocational Nurse in Grass Valley, California
NPI 1508623059

Tyler Dalton Fernandez I is a Licensed Vocational Nurse based in Grass Valley, CA. Tyler Dalton Fernandez I practices in Grass Valley, CA and has the professional credentials of LVN. The NPI Number for Tyler Dalton Fernandez I is 1508623059 and holds a License No. 700729 (California).

The current practice location address for Tyler Dalton Fernandez I is 11761 Ridge Rd, Grass Valley, CA and can be reached out via phone at 530-273-4431 and via fax at 530-272-1512.

Location: 11761 Ridge Rd, Grass Valley, CA, 95945-5025
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1508623059
Provider Name
Tyler Dalton Fernandez I
Credential
LVN
Provider Entity Type
Individual
Gender
Male
Address
11761 Ridge Rd, Grass Valley, CA, 95945-5025
Phone Number
530-273-4431
Fax Number
530-272-1512
Provider Enumeration Date
03/01/2024
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
11761 Ridge Rd
City
Grass Valley
State
California
Zip
95945-5025
Phone Number
530-273-4431
Fax Number
530-272-1512
person
Provider Business Mailing Address Details
Address
11761 Ridge Rd
City
Grass Valley
State
California
Zip
95945-5025
Phone Number
530-273-4431
Fax Number
530-272-1512
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Vocational Nurse
Speciality
-
Taxonomy
164X00000X
License No.
700729 (California)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states.
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