Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RAIZZA QUEEN BANIQUED ACODE, FNP-BC, FNP-C
ActiveRAIZZA QUEEN BANIQUED ACODE, FNP-BC, FNP-C is a Nurse Practitioner healthcare provider located in PORT HUENEME, California. NPI 1245052018 is currently active in the NPPES registry. Verify at CMS.
Nurse Practitioner · PORT HUENEME, CA
Registration Details
- NPI Number
- 1245052018
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 31, 2024 (1.7954701015781 yrs)
- Last Updated
- Oct 31, 2024
- Licenses
-
95239692 (CA)95032745 (CA)
Practice Information
- Address
-
430 PARK AVEPORT HUENEME, CA, 930412553Browse CA providers · Browse ZIP 93041
- Phone
- 8054873881
- Primary Specialty
-
Nurse Practitioner
363L00000X
- Additional Specialty
- Nurse Practitioner
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.