NPI 1154515450

Izana Victor

Practitioner Nurse's Aide Port St Lucie, FL

Practice location

Address: 214 SW Aubudon Ave, Port St Lucie, FL 34984-5030
Phone: (772) 626-4687

Registered specialties

Nurse's Aide Primary

Nursing Service Related Providers Taxonomy 376K00000X Licence CNA37544 (FL)

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Registry record

NPI: 1154515450
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Aug 2007
Record last updated: 29 Aug 2007

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.