Alyssa Marie Mansmith, LVN
Registered Nurse in Hollister, CA. Individual provider (NPI-1).
NPI number1912373614
StatusActive
Last updated in NPPESJan 4, 2024
Details
- NPI
- 1912373614
- Entity type
- Individual (NPI-1)
- Name
- Alyssa Marie Mansmith
- Credential
- LVN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 17, 2015
- Certification date
- Jan 2, 2024
- Last updated
- Jan 4, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | 95341307 | CA | Yes |
| 164X00000X | Licensed Vocational Nurse | 290487 | CA |
Practice location
1131 Community ParkwayHollister, CA 95023
Phone 831-636-4020
Mailing address
1131 Community ParkwayHollister, CA 95023
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