IndividualActive
Oteria Randall Koayen
NPI 1508060237 · Critical Care Medicine Nurse Practitioner · Pittsburg, CA
Provider details
- NPI number
- 1508060237
- Entity type
- Individual
- Primary specialty
- Critical Care Medicine Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 15439 (CA)
Practice location
1166 Brooktrail Dr
1900 Fruitvale Ave Suite 3e
Pittsburg, CA 94565-7627
Phone: (925) 261-9953
Mailing address
1166 Brooktrail Dr
Pittsburg, CA 94565-7627
Registry dates
- Enumerated
- 2007-06-14
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.