Provider Demographics
NPI:1235949926
Name:BARRERA, GLORIA LUZ (LVN)
Entity type:Individual
Prefix:
First Name:GLORIA
Middle Name:LUZ
Last Name:BARRERA
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 1:166 1ST ST APT 5
Mailing Address - Street 2:
Mailing Address - City:WOODLAND
Mailing Address - State:CA
Mailing Address - Zip Code:95695-3260
Mailing Address - Country:US
Mailing Address - Phone:530-665-9435
Mailing Address - Fax:
Practice Address - Street 1:3037 BRYANT PL
Practice Address - Street 2:
Practice Address - City:DAVIS
Practice Address - State:CA
Practice Address - Zip Code:95618-1613
Practice Address - Country:US
Practice Address - Phone:530-400-9752
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-13
Last Update Date:2025-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA721077164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse