LVN Mattison Brooke Johnson I, NPI 1710535687
Attendant Care Provider in La Mesa, CA, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1710535687
NPI Entity Type Individual
Provider Name LVN Mattison Brooke Johnson I
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Certification Date September 30, 2009
Provider Location Address 8615 Fletcher Pkwy Unit 406, La Mesa, CA, US
Provider Mailing Address 8615 Fletcher Pkwy Unit 406, La Mesa, CA, US, 919425205
Gender Female
Is Sole Proprietor? Yes
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Primary Taxonomy

Taxonomy Code

3747A0650X

Taxonomy Name Attendant Care Provider
Classification

Technician

Group

Nursing Service Related Providers

Description An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law.

Business Address

LVN Mattison Brooke Johnson I
8615 Fletcher Pkwy Unit 406

La Mesa, CA, US

Phone: 209-570-6823

Mailing Address

LVN Mattison Brooke Johnson I
8615 Fletcher Pkwy Unit 406
La Mesa, CA, US
ZIP 919425205
Phone: 209-570-6823

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

164X00000X

Nursing Service Providers

Licensed Vocational Nurse

696096 CA No

Health Information Exchange

Endpoint Type Endpoint Description Use Content Type Affiliation Location
DIRECT [email protected] email DIRECT No 6741 108th St # A, Ewa Beach, HI, US

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