ALFREDA ODIAKOSA


Address: 3021 Hawthorne Rd, Perris, CA 92571-6906
Phone: 9516607698

ALFREDA ODIAKOSA (NPI# 1437620218) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1437620218
Entity Type Individual
Full Name ALFREDA ODIAKOSA
Credential FNP-BC
Practice Address 3021 Hawthorne Rd
Perris
CA 92571-6906
Practice Telephone 9516607698
Mailing Telephone 9516607698
Enumeration Date 2018-12-05
Last Update Date 2018-12-05
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
95010562 CA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 3021 HAWTHORNE RD
City PERRIS
State CA
Zip Code 92571-6906

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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1144847328 Tamara Cheek Nurse Practitioner 1401 Andulucia Pl, Perris, CA 92571-7332 2020-07-02
1053802579 Kadiatou Dafney Nurse Practitioner 126 Avocado Ave Ste 106, Perris, CA 92571 2018-05-21
1609315746 Tracy Ann Dawes Nurse Practitioner 380 W 3rd St, Perris, CA 92570-2006 2017-02-22
1073644894 Evelyn L Hunt Nurse Practitioner 3984 Indian Ave, Perris, CA 92571-3154 2007-03-07
1346884921 Elizabeth Toriseju Tuoyo Nurse Practitioner 126 Avocado Ave Ste 106, Perris, CA 92571-2605 2019-11-06
1457864464 Bawj Medical Services Inc Nurse Practitioner 520 W 4th St, Perris, CA 92570 2017-11-13
1881607166 Annette H Anderson Nurse Practitioner 237 N D St, Perris, CA 92570-1919 2006-08-15

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Competitor

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City PERRIS
Zip Code 92571

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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