Provider Demographics
NPI:1134260763
Name:MAPES, LENETTE ARVILLA (RN)
Entity type:Individual
Prefix:
First Name:LENETTE
Middle Name:ARVILLA
Last Name:MAPES
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 5028
Mailing Address - Street 2:
Mailing Address - City:STATELINE
Mailing Address - State:NV
Mailing Address - Zip Code:89449-5028
Mailing Address - Country:US
Mailing Address - Phone:775-588-7775
Mailing Address - Fax:
Practice Address - Street 1:1360 JOHNSON BLVD
Practice Address - Street 2:SUITE 103
Practice Address - City:SOUTH LAKE TAHOE
Practice Address - State:CA
Practice Address - Zip Code:96150-8220
Practice Address - Country:US
Practice Address - Phone:530-573-3144
Practice Address - Fax:530-541-8409
Is Sole Proprietor?:No
Enumeration Date:2007-02-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA473761163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health