Provider Demographics
NPI:1689355026
Name:NOGUERA, OSCAR A
Entity Type:Individual
Prefix:
First Name:OSCAR
Middle Name:A
Last Name:NOGUERA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 SUMMIT AVE E APT 46
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98102-4892
Mailing Address - Country:US
Mailing Address - Phone:808-436-9136
Mailing Address - Fax:
Practice Address - Street 1:501 SUMMIT AVE E APT 46
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98102-4892
Practice Address - Country:US
Practice Address - Phone:808-436-9136
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-28
Last Update Date:2023-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN61086648163WE0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WE0003XNursing Service ProvidersRegistered NurseEmergency