Provider Demographics
NPI:1255854972
Name:LLORIN, NILDA (REGISTERED NUEAW)
Entity type:Individual
Prefix:
First Name:NILDA
Middle Name:
Last Name:LLORIN
Suffix:
Gender:F
Credentials:REGISTERED NUEAW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2641 NEW HAVEN PL
Mailing Address - Street 2:
Mailing Address - City:OXNARD
Mailing Address - State:CA
Mailing Address - Zip Code:93035-1234
Mailing Address - Country:US
Mailing Address - Phone:805-279-7184
Mailing Address - Fax:
Practice Address - Street 1:2641 NEW HAVEN PL
Practice Address - Street 2:
Practice Address - City:OXNARD
Practice Address - State:CA
Practice Address - Zip Code:93035
Practice Address - Country:US
Practice Address - Phone:805-279-7184
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-25
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA402899163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management