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TERESA MAGANA FNP

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

Registrant NPI Number: 1891884334

Individual Registrant:
 TERESA  MAGANA FNP
Gender: F
Not Sole Proprietor

Location and contact information for practice:
387 CIVIC DRIVE  GALT, CA 95632-2059 US
Tel: 209-745-8080  Fax: 209-745-8085

Contact information for business:
PO BOX 241011  LODI, CA 95241-9511 US
Tel: 209-642-4175  Fax: 209-369-4880

Registration Information:
NPI: 1891884334
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Family
CA11924
Y363LP2300XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
CA11924

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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