Mrs. Oteria Randall Koayen
Nurse Practitioner - Critical Care Medicine
1166 Brooktrail Dr 1900 Fruitvale Ave Suite 3e
Pittsburg
, California 94565-7627
Mrs. Oteria Randall Koayen
Nurse Practitioner - Critical Care Medicine
1166 Brooktrail Dr 1900 Fruitvale Ave Suite 3e
Pittsburg
, California 94565-7627
(925) 261-9953
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About
Features
Specialties
- Nurse Practitioner - Critical Care Medicine
Languages spoken
- English
Location
First Address
- Mrs. Oteria Randall Koayen
- 1166 Brooktrail Dr
- Pittsburg, CA
- Zip : 94565-7627
- Phone : (925) 261-9953
Second Address
- Mrs. Oteria Randall Koayen
- 1166 Brooktrail Dr 1900 Fruitvale Ave Suite 3e
- Pittsburg, CA
- Zip : 94565-7627
- Phone : (925) 261-9953
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LC0200X | Nurse Practitioner - Critical Care Medicine | 15439 | CA |
National Provider Identifier
| NPI | 1508060237 |
|---|---|
| Provider Name | Mrs. Oteria Randall Koayen |
| First Address | Pittsburg, CA 94565-7627 |
| Second Address | Pittsburg, CA 94565-7627 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/06/2007 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.