GLORIA CHRISTINA SUDETA NP-C NPI 1083070064

NPI Information

NPI: 1083070064
Provider Name: GLORIA CHRISTINA SUDETA, NP-C
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
2740 HERNDON AVE
CLOVIS, CA
ZIP 93611
Phone: (559) 299-2608
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Gloria Christina Sudeta, NP-C is a psychiatric/mental health nurse practitioner in Clovis, CA with 9 years of experience. Gloria Christina Sudeta, NP-C NPI is 1083070064. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2740 HERNDON AVE
CLOVIS, CA
ZIP 93611-813
Phone: (559) 299-2608

The NPI 1083070064 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/6/2016 and was last updated on 10/17/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	95003639	CALIFORNIA	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	95003639	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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