Provider Demographics
NPI:1821105578
Name:SEARCY, ZELDA LOUISE (LVN)
Entity Type:Individual
Prefix:MS
First Name:ZELDA
Middle Name:LOUISE
Last Name:SEARCY
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 1:56232 NAVAJO TRL
Mailing Address - Street 2:
Mailing Address - City:YUCCA VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92284-4067
Mailing Address - Country:US
Mailing Address - Phone:760-365-8604
Mailing Address - Fax:760-365-8604
Practice Address - Street 1:13 STEPHEN TER
Practice Address - Street 2:
Practice Address - City:RANCHO MIRAGE
Practice Address - State:CA
Practice Address - Zip Code:92270-2633
Practice Address - Country:US
Practice Address - Phone:760-328-0244
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAVN81925164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
CARVN002920OtherINDIVIDUAL NURSE PROVIDER