ODESSA BARAYUGA LUNA RN
NPI 1891517983
Registered Nurse - School in Fresno, CA
Active since October 29, 2024
About Odessa Barayuga Luna Rn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ODESSA BARAYUGA LUNA RN (NPI 1891517983) is an individual school provider in Fresno, California, licensed in California (95044512) and active in the NPI registry since October 2024.
NPPES Registry Identity
NPI1891517983
Entity TypeIndividualFemale
Primary Taxonomy163WS0200X
Provider Legal NameODESSA BARAYUGA LUNACredential: RN
Location Address1301 M STFresno, CA 93721-1807
Mailing Address2416 E Saint Andrew DrFresno, CA 93730-4761
Phone(559) 457-3301
Sole ProprietorNo
Enumeration DateOctober 29, 2024
Last NPPES UpdateOctober 31, 2024
NPPES CertifiedOctober 31, 2024
✔ NPI 1891517983 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyRegistered Nurse · SchoolNursing Service Providers
Taxonomy Code163WS0200X
License✔ Licensed in CA · 95044512
1301 M ST, Fresno, CA 93721
Other Names 1
Former Name (1)Odessa Barayuga Gorospe
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1891517983, enumerated as an "individual" on October 29, 2024.
The provider is located at 1301 M ST FRESNO, CA 93721 and the phone number is (559) 457-3301.
Registered Nurse with taxonomy code 163WS0200X and a focus in School.
