Provider Demographics
NPI:1477164051
Name:OLIQUINO, BENILDA (RN, BSN, CCRN, FNP-C)
Entity type:Individual
Prefix:MRS
First Name:BENILDA
Middle Name:
Last Name:OLIQUINO
Suffix:
Gender:
Credentials:RN, BSN, CCRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6600 LONE TREE WAY
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:94513-5256
Mailing Address - Country:US
Mailing Address - Phone:925-276-9908
Mailing Address - Fax:
Practice Address - Street 1:3121 FRUITVALE AVE
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94602-2112
Practice Address - Country:US
Practice Address - Phone:510-929-1400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-16
Last Update Date:2025-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95015197363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily