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Ms. Sandra Imade Odiase, FNP
Nurse Practitioner in Sacramento, California
NPI 1366615791

Sandra Imade Odiase is a Nurse Practitioner based in Long Beach, CA. Sandra Imade Odiase practices in Sacramento, CA and has the professional credentials of FNP. The NPI Number for Sandra Imade Odiase is 1366615791 and holds a License No. 17711 (California).

The current practice location address for Sandra Imade Odiase is 3946 Norwood Ave, Sacramento, CA and can be reached out via phone at 916-564-0521 and via fax at 877-860-2907.

Location: 3946 Norwood Ave, Sacramento, CA, 90802-4317
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366615791
Provider Name
Sandra Imade Odiase
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
3946 Norwood Ave, Sacramento, CA, 90802-4317
Phone Number
916-564-0521
Fax Number
877-860-2907
Provider Enumeration Date
04/07/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
EFF: 11/13/2014 05 CA
P01470028-DV5277 01 CA RR MEDICARE
P01421065 - DS9933 01 CA RR MEDICARE
institution
Provider Business Practice Location Address Details
Address
3946 Norwood Ave
City
Sacramento
State
California
Zip
95838-3300
Phone Number
916-564-0521
Fax Number
877-860-2907
person
Provider Business Mailing Address Details
Address
3946 Norwood Ave
City
Sacramento
State
California
Zip
95838-3300
Phone Number
916-564-0521
Fax Number
877-860-2907
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
17711 (California)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
17711 (California)
Definition
Definition to come...
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