Individual
MS. SHOKO OKADO NITTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4500 BROCKTON AVE STE 319, RIVERSIDE, CA 92501-4027
(951) 367-0102
Mailing address
4500 BROCKTON AVE STE 319, RIVERSIDE, CA 92501-4027
(951) 384-7422
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
18472
CA
364SA2100X
Acute Care Clinical Nurse Specialist
3037
CA
Other
Enumeration date
09/17/2009
Last updated
01/28/2019
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