ELIZABETH RYAN VIDOVICH LVN NPI 1033543731

NPI Information

  • NPI: 1033543731
  • Provider Name: ELIZABETH RYAN VIDOVICH, LVN
  • Classification: Licensed Practical Nurse - 164W00000X
  • Entity Type: Individual
  • Address: 2540 FOREST AVE
    SAN JOSE, CA
    ZIP 95117
  • Phone: (408) 642-5039

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NPI Details

Elizabeth Ryan Vidovich, LVN is a licensed practical nurse in San Jose, CA. The provider is a licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. Elizabeth Ryan Vidovich, LVN NPI is 1033543731. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2540 FOREST AVE
SAN JOSE, CA
ZIP 95117-117
Phone: (408) 642-5039
Fax: (408) 642-5039

The enumeration date for this NPI number is 8/29/2013 and was last updated on 8/29/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)CALIFORNIANo
2167G00000XLicensed Psychiatric TechnicianVN203070CALIFORNIANo
3164W00000XLicensed Practical NurseVN230370CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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