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NPI Code Detail

MEDICARE: STELLA SHETU OGBEIDE NURSE PRACTITIONER

MEDICARE:   STELLA SHETU OGBEIDE  NURSE PRACTITIONER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner11211CT
2363LF0000XFamily Nurse Practitioner53-84695-042KS
3363LF0000XFamily Nurse PractitionerA186655IA
4363LF0000XFamily Nurse Practitioner304850AZ
5363LF0000XFamily Nurse Practitioner13609650-4405UT
6363LF0000XFamily Nurse Practitioner95000646CA
7363LF0000XFamily Nurse Practitioner2025029402MO
8363LF0000XFamily Nurse Practitioner1086820TX
9363LF0000XFamily Nurse Practitioner0039773OH
10363LF0000XFamily Nurse Practitioner225868OK
11363LF0000XFamily Nurse Practitioner235350AR
12363LF0000XFamily Nurse PractitionerAP61622426WA
13363LF0000XFamily Nurse Practitioner1001141CO
14363LF0000XFamily Nurse Practitioner17408-33WI
15363LF0000XFamily Nurse Practitioner10020943OR

General Provider Information

NPI Number : 1811399876
Entity Type Code : Individual
Provider Name (Legal Business Name) : STELLA SHETU OGBEIDE NURSE PRACTITIONER
Provider Business Mailing Address
First Line : 1080 LEONARD AVE
Second Line :
City : PASADENA
State : CA
Zip : 91107-1744
Country : US
Telephone Number : 626-818-5311
Fax Number : 626-351-1060
Provider Business Practice Location Address
First Line : 1707 COLE BLVD STE 100
Second Line :
City : GOLDEN
State : CO
Zip : 80401-3219
Country : US
Telephone Number : 866-949-0108
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/22/2014
Last Update Date : 03/10/2026

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Directions to “ STELLA SHETU OGBEIDE NURSE PRACTITIONER” Practice Location

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