Provider Demographics
NPI:1295253375
Name:CARTERFIELDS, DOREEN (LVN)
Entity type:Individual
Prefix:
First Name:DOREEN
Middle Name:
Last Name:CARTERFIELDS
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 1:4176 W 147TH ST
Mailing Address - Street 2:
Mailing Address - City:LAWNDALE
Mailing Address - State:CA
Mailing Address - Zip Code:90260-1776
Mailing Address - Country:US
Mailing Address - Phone:424-219-4768
Mailing Address - Fax:
Practice Address - Street 1:4176 W 147TH ST
Practice Address - Street 2:
Practice Address - City:LAWNDALE
Practice Address - State:CA
Practice Address - Zip Code:90260-1776
Practice Address - Country:US
Practice Address - Phone:424-219-4768
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-08
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAVN177066164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse