Provider Demographics
NPI:1629444377
Name:ORANTES, NORMA LISSETTE (LVN)
Entity Type:Individual
Prefix:
First Name:NORMA
Middle Name:LISSETTE
Last Name:ORANTES
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:NORMA
Other - Middle Name:LISSETTE
Other - Last Name:ORANTES
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LVN
Mailing Address - Street 1:19128 ELDORADO RD
Mailing Address - Street 2:
Mailing Address - City:PERRIS
Mailing Address - State:CA
Mailing Address - Zip Code:92570-6528
Mailing Address - Country:US
Mailing Address - Phone:951-452-5103
Mailing Address - Fax:
Practice Address - Street 1:19128 ELDORADO RD
Practice Address - Street 2:
Practice Address - City:PERRIS
Practice Address - State:CA
Practice Address - Zip Code:92570-6528
Practice Address - Country:US
Practice Address - Phone:951-452-5103
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-08-17
Last Update Date:2015-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAVN 230206164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse