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Michelle Marlys South, LVN
Licensed Vocational Nurse in Boulder Creek, California
NPI 1699045450

Michelle Marlys South is a Licensed Vocational Nurse based in Boulder Creek, CA. Michelle Marlys South practices in Boulder Creek, CA and has the professional credentials of LVN. The NPI Number for Michelle Marlys South is 1699045450 and holds a License No. 220999 (California).

The current practice location address for Michelle Marlys South is 18285 China Grade Rd, Boulder Creek, CA and can be reached out via phone at 831-419-3116.

Location: 18285 China Grade Rd, Boulder Creek, CA, 95006-9100
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699045450
Provider Name
Michelle Marlys South
Credential
LVN
Provider Entity Type
Individual
Gender
Female
Address
18285 China Grade Rd, Boulder Creek, CA, 95006-9100
Phone Number
831-419-3116
Fax Number
Provider Enumeration Date
01/10/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
18285 China Grade Rd
City
Boulder Creek
State
California
Zip
95006-9188
Phone Number
831-419-3116
Fax Number
person
Provider Business Mailing Address Details
Address
18285 China Grade Rd
City
Boulder Creek
State
California
Zip
95006-9188
Phone Number
831-419-3116
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Vocational Nurse
Speciality
-
Taxonomy
164X00000X
License No.
220999 (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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