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MS. TERESA ANGELICA COLUNGA FNP-C
Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing ProvidersRegistrant NPI Number: 1023359429
Individual Registrant:MS. TERESA ANGELICA COLUNGA FNP-C
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
2239 E FRONTAGE RD TUBAC, AZ 85646-1063 US
Tel: 520-281-1550 Fax: 520-281-1112
Tel: 520-281-1550 Fax: 520-281-1112
Contact information for business:
825 N GRAND AVE STE 100 NOGALES, AZ 85621-1061 US
Tel: 520-761-2133 Fax: 520-281-2335
Tel: 520-761-2133 Fax: 520-281-2335
Registration Information:
NPI: 1023359429
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family | AZ | AP4918 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 833232 | AZ | 05 |
