| Miss Roshani Subedi, NURSE PRACTITIONER | |
|
101 Bodin Cir, Travis Afb, CA 94535-1809 | |
| (707) 423-5447 | |
| Not Available |
| Full Name | Miss Roshani Subedi |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 9 Years |
| Location | 101 Bodin Cir, Travis Afb, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245748714 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 95008322 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Omar Osman Practice, Llc | 4385014042 | 45 |
| Entity Name | Omar Osman Practice, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669192472 PECOS PAC ID: 4385014042 Enrollment ID: O20221221002873 |
| Mailing Address | Practice Location Address |
|---|---|
| Miss Roshani Subedi, NURSE PRACTITIONER 101 Bodin Cir, Travis Afb, CA 94535-1809 Ph: (707) 423-3247 | Miss Roshani Subedi, NURSE PRACTITIONER 101 Bodin Cir, Travis Afb, CA 94535-1809 Ph: (707) 423-5447 |
Ms. Kara N Granroth, DNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-3400 |
Dr. Cenean Walls Raphemot, FPMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-5174 |
Yardana Gill, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 101 Bodin Cir Bldg 777, Travis Afb, CA 94535 Phone: 707-423-2300 Fax: 707-423-3357 |
Joshua Mark Blanchard, RN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-3653 |
Mrs. Nicole Ivy-kutzler, WHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-816-7894 |
Leslie A Christopher, WHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 101 Bodin Circle, Travis Afb, CA 94535 Phone: 707-423-5311 |
Mr. Laban Kipkurui Tabartet, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-5174 |