MRS. OTERIA RANDALL KOAYEN NPI 1508060237

NPI Information

NPI: 1508060237
Provider Name: MRS. OTERIA RANDALL KOAYEN
Classification: Nurse Practitioner - 363LC0200X
Entity Type: Individual

Specialization: Critical Care Medicine

Address:
1166 BROOKTRAIL DR
1900 FRUITVALE AVE SUITE 3E
PITTSBURG, CA
ZIP 94565
Phone: (925) 261-9953
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MRS. Oteria Randall Koayen is a critical care medicine nurse practitioner in Pittsburg, CA. MRS. Oteria Randall Koayen NPI is 1508060237. 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:

1166 BROOKTRAIL DR
1900 FRUITVALE AVE SUITE 3E
PITTSBURG, CA
ZIP 94565-627
Phone: (925) 261-9953

The enumeration date for this NPI number is 6/14/2007 and was last updated on 7/8/2007.

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	363LC0200X	Nurse Practitioner	Critical Care Medicine	15439	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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