Elizabeth Ryan Vidovich, LVN is a
Licensed Practical Nurse based in San Jose, California. Elizabeth Ryan Vidovich is licensed to practice in California (license number VN230370) and her current practice location is
2540 Forest Ave, San Jose, California. She can be reached at her office (for appointments etc.) via phone at
(408) 642-5039.
NPI number for Elizabeth Ryan Vidovich is 1033543731 and her current mailing address is 2540 Forest Ave, San Jose, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1033543731.
Healthcare Provider's Profile
Full Name | Elizabeth Ryan Vidovich |
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Gender | Female |
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Speciality | Licensed Practical Nurse |
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Location | 2540 Forest Ave, San Jose, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1033543731
- Provider Enumeration Date: 08/29/2013
- Last Update Date: 08/29/2013
Medical Identifiers
Medical identifiers for Elizabeth Ryan Vidovich such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1033543731 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | (California) | Secondary |
164W00000X | Licensed Practical Nurse | VN230370 (California) | Primary |
167G00000X | Licensed Psychiatric Technician | VN203070 (California) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Elizabeth Ryan Vidovich is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Elizabeth Ryan Vidovich, LVN 2540 Forest Ave, San Jose, CA 95117-1117 Ph: (408) 642-5039 | Elizabeth Ryan Vidovich, LVN 2540 Forest Ave, San Jose, CA 95117-1117 Ph: (408) 642-5039 |
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