Doctor Name: | LENETTE ARVILLA MAPES |
NPI Number: | 1134260763 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | 473761 |
Business Practice Address: | 1360 Johnson Blvd Suite 103 South Lake Tahoe, CA - 961508220 |
Business Phone Number: | 5305733144 |
Business Fax Number: | 5305418409 |
Mailing Address: | Po Box 5028, STATELINE |
State: | NV |
Postal Code: | 894495028 |
Phone Number: | 7755887775 |
Fax Number: | |
NPI Enumeration Date: | 02/08/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WC1500X |
License Number: | 473761 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Community Health |
Taxonomy Definition: |