Provider Demographics
NPI:1619548674
Name:SAUSEDO, MARIA TRINIDAD (RN)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:TRINIDAD
Last Name:SAUSEDO
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4032 E ASHLAN AVE
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93726-3733
Mailing Address - Country:US
Mailing Address - Phone:559-797-2340
Mailing Address - Fax:
Practice Address - Street 1:4032 E ASHLAN AVE
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93726-3733
Practice Address - Country:US
Practice Address - Phone:559-797-2340
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-09
Last Update Date:2021-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95239617163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse