Provider Demographics
NPI:1124206669
Name:SANTINI, NELIDA (LVN)
Entity Type:Individual
Prefix:MS
First Name:NELIDA
Middle Name:
Last Name:SANTINI
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1046 MADDEN AVE
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92154-3340
Mailing Address - Country:US
Mailing Address - Phone:619-829-0888
Mailing Address - Fax:
Practice Address - Street 1:1046 MADDEN AVE
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92154-2140
Practice Address - Country:US
Practice Address - Phone:619-829-0888
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-02-07
Last Update Date:2016-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAVN187271164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse