DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ELIZABETH RYAN VIDOVICH, LVN

Active Sole Proprietor

ELIZABETH RYAN VIDOVICH, LVN is a Licensed Practical Nurse healthcare provider located in SAN JOSE, California. NPI 1033543731 is currently active in the NPPES registry. Verify at CMS.

Licensed Practical Nurse · SAN JOSE, CA

Registration Details

NPI Number
1033543731
Provider Type
Individual
Gender
Female
NPI Issued
Aug 29, 2013 (12.964417965156 yrs)
Last Updated
Aug 29, 2013
Licenses
VN230370 (CA)
VN203070 (CA)
Sole Proprietor
Yes

Practice Information

Address
2540 FOREST AVE
SAN JOSE, CA, 951171117
Browse CA providers · Browse ZIP 95117
Phone
4086425039
Fax
4086425039
Primary Specialty
Licensed Practical Nurse
164W00000X
Additional Specialty
Licensed Practical Nurse
Additional Specialty
Licensed Genetic Counselor

Other Licensed Practical Nurse Providers in SAN JOSE, CA

Name Credential NPI
RICHARD TWOY RN, FNP 1174641526
MS. LESLIE ERIN CLARK RN, NP 1518234327
MS. AGNES CASTILLO MANOSCA NP, RN 1316217987
ROSE MAE MANGAHAS PABLO 1427738483
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.