Oteyza, Edrick Mathieu

Oteyza, Edrick Mathieu is an individual health care provider with primary practice located at 1200 B Gale Wilson Blvd , Fairfield CA 94533-3587. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is his primary health care specialty. Oteyza, Edrick Mathieu can be contacted via phone (707) 646-3333.

Contact Information

Primary practice address
1200 B Gale Wilson Blvd Fairfield CA 94533-3587
Phone: (707) 646-3333
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 95078590 California
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 95017112 California

Profile Details

NPI number 1619640141
LBN Legal business name Oteyza, Edrick Mathieu
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2021
Last updated Jul 29th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619640141 NPPES
California Other 95017112 NURSE PRACTITIONER FURNISHING
California Other 95078590 NURSE PRACTITIONER FURNISHING

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