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MRS. CARLA TORRES HADDOCK FNP-C

>> Registered Nurse >> Nursing Service Providers

Registrant NPI Number: 1710473996

Individual Registrant:
MRS. CARLA TORRES HADDOCK FNP-C
Gender: F
Sole Proprietor

Location and contact information for practice:
277 W CHALAN SANTO PAPA  HAGATNA, GU 96910-5115 US
Tel: 671-486-0000  Fax: --

Contact information for business:
277 W CHALAN SANTO PAPA  HAGATNA, GU 96910-5115 US
Tel: 671-486-0000  Fax: --

Registration Information:
NPI: 1710473996
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N163W00000XNursing Service Providers
Registered Nurse
GURX0607
N363LA2100XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
GUNP0187
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
GUNP0187

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
RN LICENSERX0607GU01
NP LICENSENP0187GU01




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