Provider Demographics
NPI:1831372184
Name:PARHAM, VELINDA ANN (LVN)
Entity type:Individual
Prefix:MRS
First Name:VELINDA
Middle Name:ANN
Last Name:PARHAM
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 1:8706 BEAU MAISON WAY
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93311-1594
Mailing Address - Country:US
Mailing Address - Phone:661-376-3765
Mailing Address - Fax:
Practice Address - Street 1:8706 BEAU MAISON WAY
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93311-1594
Practice Address - Country:US
Practice Address - Phone:661-376-3765
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-10
Last Update Date:2022-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAVN186179164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse