Doctor Name: | ASILI MAISHA WILBOURN |
NPI Number: | 1013186543 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LVN |
License Number: | 212323 |
Business Practice Address: | 3549 N D St San Bernardino, CA - 924052103 |
Business Phone Number: | 9098908383 |
Business Fax Number: | |
Mailing Address: | 3549 N D St, SAN BERNARDINO |
State: | CA |
Postal Code: | 924052103 |
Phone Number: | 9098908383 |
Fax Number: | |
NPI Enumeration Date: | 02/28/2008 |
NPI Last Update Date: | 01/31/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 164X00000X |
License Number: | 212323 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Licensed Vocational Nurse |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states. |