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Raven Bethannie Audoma-petzel
Licensed Vocational Nurse in Riverside, California
NPI 1720747165

Raven Bethannie Audoma-petzel is a Licensed Vocational Nurse based in Riverside, CA. Raven Bethannie Audoma-petzel practices in Riverside, CA. The NPI Number for Raven Bethannie Audoma-petzel is 1720747165 and holds a License No. 266168 (California).

The current practice location address for Raven Bethannie Audoma-petzel is 2085 Rustin Ave Ste 1, Riverside, CA and can be reached out via phone at 951-955-7320.

Location: 2085 Rustin Ave Ste 1, Riverside, CA, 92507-2498
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720747165
Provider Name
Raven Bethannie Audoma-petzel
Credential
Provider Entity Type
Individual
Gender
Female
Address
2085 Rustin Ave Ste 1, Riverside, CA, 92507-2498
Phone Number
951-955-7320
Fax Number
Provider Enumeration Date
12/13/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2085 Rustin Ave Ste 1
City
Riverside
State
California
Zip
92507-2498
Phone Number
951-955-7320
Fax Number
person
Provider Business Mailing Address Details
Address
2085 Rustin Ave Ste 1
City
Riverside
State
California
Zip
92507-2498
Phone Number
951-955-7320
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Vocational Nurse
Speciality
-
Taxonomy
164X00000X
License No.
266168 (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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