Individual provider · Type 1 NPI
Samuel Moore Bodin
Registered Nurse · Pasadena, CA
Practice location
1126 Cordova St Apt 1
Pasadena, CA 91106-3044
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 308504 (AZ) |
| Registered Nurse Primary | 163W00000X | 95168025 (CA) |
Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…
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About NPI 1922974922
Samuel Moore Bodin's National Provider Identifier is 1922974922, issued on Oct 15, 2025. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Pasadena, CA. The record was last updated on Oct 15, 2025.