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Kristal Marie Moreno
Licensed Vocational Nurse in Port Hueneme, California
NPI 1679129480

Kristal Marie Moreno is a Licensed Vocational Nurse based in Camarillo, CA. Kristal Marie Moreno practices in Port Hueneme, CA. The NPI Number for Kristal Marie Moreno is 1679129480 and holds a License No. 689647 (California).

The current practice location address for Kristal Marie Moreno is 244 E Clara St, Port Hueneme, CA and can be reached out via phone at 805-307-6296.

Location: 244 E Clara St, Port Hueneme, CA, 93012-8479
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1679129480
Provider Name
Kristal Marie Moreno
Credential
Provider Entity Type
Individual
Gender
Female
Address
244 E Clara St, Port Hueneme, CA, 93012-8479
Phone Number
805-307-6296
Fax Number
Provider Enumeration Date
08/16/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
XEQ9913232 01 CA BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
244 E Clara St
City
Port Hueneme
State
California
Zip
93041-2732
Phone Number
805-307-6296
Fax Number
person
Provider Business Mailing Address Details
Address
244 E Clara St
City
Port Hueneme
State
California
Zip
93041-2732
Phone Number
805-307-6296
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Vocational Nurse
Speciality
-
Taxonomy
164X00000X
License No.
689647 (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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