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MRS. CARLA TORRES HADDOCK FNP-C
Acute Care >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing ProvidersRegistrant NPI Number: 1710473996
Individual Registrant:MRS. CARLA TORRES HADDOCK FNP-C
Gender: F
Sole Proprietor
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: --
Tel: 671-486-0000 Fax: --
Contact information for business:
277 W CHALAN SANTO PAPA HAGATNA, GU 96910-5115 US
Tel: 671-486-0000 Fax: --
Tel: 671-486-0000 Fax: --
Registration Information:
NPI: 1710473996
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 363LA2100X | Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Acute Care | GU | NP0187 |
| N | 163W00000X | Nursing Service Providers Registered Nurse | GU | RX0607 |
| Y | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | GU | NP0187 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| RN LICENSE | RX0607 | GU | 01 |
| NP LICENSE | NP0187 | GU | 01 |
