Individual provider · Type 1 NPI
Oteria Randall Koayen
Critical Care Medicine Nurse Practitioner · Pittsburg, CA
NPI number
1508060237
Active
Practice location
1166 Brooktrail Dr, 1900 Fruitvale Ave Suite 3E
Pittsburg, CA 94565-7627
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Critical Care Medicine Nurse Practitioner Primary | 363LC0200X | 15439 (CA) |
Critical Care Medicine Nurse Practitioner: Definition to come...
Another provider at this address
About NPI 1508060237
Oteria Randall Koayen's National Provider Identifier is 1508060237, issued on Jun 14, 2007. The primary taxonomy on file is Critical Care Medicine Nurse Practitioner (363LC0200X), and the practice location is in Pittsburg, CA. The record was last updated on Jul 8, 2007.