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Ms. Revonia J Truby, NP
Women's Health Clinical Nurse Specialist in Los Angeles, California
NPI 1952436651

Revonia J Truby is a Women's Health Clinical Nurse Specialist based in Lakewood, CA and is specialized in Women's Health. Revonia J Truby practices in Los Angeles, CA and has the professional credentials of NP. The NPI Number for Revonia J Truby is 1952436651 and holds a License No. NP 1160 (California).

The current practice location address for Revonia J Truby is 11905 So Central Ave, Los Angeles, CA and can be reached out via phone at 323-566-6911 and via fax at 323-566-6896. You can also correspond with Revonia J Truby through the mailing address at 4203 LEVELSIDE AVE, LAKEWOOD, CA - 90712 (mailing address contact number: 562-421-4375).

Location: 11905 So Central Ave, Los Angeles, CA, 90712
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1952436651
Provider Name
Revonia J Truby
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
11905 So Central Ave, Los Angeles, CA, 90712
Phone Number
323-566-6911
Fax Number
323-566-6896
Provider Enumeration Date
02/22/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
NP0011600 05 CA
institution
Provider Business Practice Location Address Details
Address
11905 So Central Ave
City
Los Angeles
State
California
Zip
90059
Phone Number
323-566-6911
Fax Number
323-566-6896
person
Provider Business Mailing Address Details
Address
11905 So Central Ave
City
Los Angeles
State
California
Zip
90059
Phone Number
323-566-6911
Fax Number
323-566-6896
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
202745 (California)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Clinical Nurse Specialist
Speciality
Women's Health
Taxonomy
364SW0102X
License No.
NP 1160 (California)
Definition
Definition to come...
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