Provider Demographics
NPI:1437600376
Name:FLORIN, TAWNIE MARIE (LVN)
Entity Type:Individual
Prefix:MS
First Name:TAWNIE
Middle Name:MARIE
Last Name:FLORIN
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 1:6892 ACACIA AVE
Mailing Address - Street 2:
Mailing Address - City:GARDEN GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:92845-3004
Mailing Address - Country:US
Mailing Address - Phone:714-705-9797
Mailing Address - Fax:
Practice Address - Street 1:6892 ACACIA AVE
Practice Address - Street 2:
Practice Address - City:GARDEN GROVE
Practice Address - State:CA
Practice Address - Zip Code:92845-3004
Practice Address - Country:US
Practice Address - Phone:714-705-9797
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-15
Last Update Date:2016-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAVN274204164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse