NPI 1033543731

Elizabeth Ryan Vidovich, LVN

Practitioner Licensed Practical Nurse San Jose, CA

Practice location

Address: 2540 Forest Ave, San Jose, CA 95117-1117
Phone: (408) 642-5039
Fax: (408) 642-5039

Registered specialties (3)

Licensed Practical Nurse Primary

Nursing Service Providers Taxonomy 164W00000X Licence VN230370 (CA)

Other Licensed Practical Nurse providers in California →

Addiction (Substance Use Disorder) Counselor

Behavioral Health & Social Service Providers Taxonomy 101YA0400X

Other Counselor providers in California →

Licensed Psychiatric Technician

Nursing Service Providers Taxonomy 167G00000X Licence VN203070 (CA)

Other Licensed Psychiatric Technician providers in California →

Registry record

NPI: 1033543731
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Aug 2013
Record last updated: 29 Aug 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.