Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Roshally Elvy Hutabarat, LVN

Individual provider Licensed Vocational Nurse · NPI 1679760573

Mrs. Roshally Elvy Hutabarat, LVN is a Licensed Vocational Nurse in San Bernardino, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2007
What do these letters mean?
LVN — Licensed Vocational Nurse
The same role as an LPN; the title used in California and Texas.

See every abbreviation used in this directory →

Practice location Address checks out

264 E 18th St
San Bernardino, CA 92404-4708
Phone: (909) 883-0288
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Vocational Nurse (primary) Taxonomy 164X00000X · Licence VA 209395 (CA)

Record details

NPI number1679760573
Entity typeIndividual (Type 1)
GenderFemale
Credentials LVN
Sole proprietorYes
NPI enumeratedSeptember 25, 2007
Last updated in NPPESSeptember 25, 2007

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