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MS. TERESA ANGELICA COLUNGA FNP-C

Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1023359429

Individual Registrant:
MS. TERESA ANGELICA COLUNGA FNP-C
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

Contact information for business:
825 N GRAND AVE STE 100  NOGALES, AZ 85621-1061 US
Tel: 520-761-2133  Fax: 520-281-2335

Registration Information:
NPI: 1023359429
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Family
AZAP4918

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
833232AZ05




HEALTH CARE JOBS AZ - Page 1



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