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Raven Audoma-Petzel
NPI 1720747165 · Licensed Vocational Nurse · Riverside, CA
Raven Audoma-Petzel is a Licensed Vocational Nurse provider in Riverside, CA (NPI 1720747165).
Provider details
- NPI number
- 1720747165
- Entity type
- Individual
- Primary specialty
- Licensed Vocational NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 266168 (CA)
Specialties & taxonomies
Nursing Service Providers
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2085 Rustin Ave Ste 1
Riverside, CA 92507-2498
Phone: (951) 955-7320
Street-level locationGet directions
Mailing address
2085 Rustin Ave Ste 1
Riverside, CA 92507-2498
Registry dates
- Enumerated
- 2021-12-13
- Last updated
- 2021-12-13
- Certified
- 2021-12-13
Frequently asked questions
- What is Raven Audoma-Petzel's NPI number?
- Raven Audoma-Petzel's National Provider Identifier (NPI) is 1720747165, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Raven Audoma-Petzel's specialty?
- Raven Audoma-Petzel is listed in the NPPES registry with a primary specialty of Licensed Vocational Nurse (Nursing Service Providers).
- Where is Raven Audoma-Petzel located?
- Raven Audoma-Petzel's practice location on file with NPPES is 2085 Rustin Ave Ste 1, Riverside, CA 92507-2498.
- What is Raven Audoma-Petzel's phone number?
- The practice phone number listed in the NPPES registry for Raven Audoma-Petzel is (951) 955-7320.
- Is Raven Audoma-Petzel's NPI active?
- Yes — Raven Audoma-Petzel's NPI (1720747165) is active in the NPPES registry as of the last update on 2021-12-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.