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NPI Code Detail

MEDICARE: HAZEL BEATRIZ NIETO LVN

MEDICARE:   HAZEL BEATRIZ NIETO  LVN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1164X00000XLicensed Vocational Nurse320475TX

General Provider Information

NPI Number : 1194387621
Entity Type Code : Individual
Provider Name (Legal Business Name) : HAZEL BEATRIZ NIETO LVN
Provider Business Mailing Address
First Line : 913 DAKOTA RIVER AVE
Second Line :
City : EL PASO
State : TX
Zip : 79932-1836
Country : US
Telephone Number : 915-262-6318
Fax Number :
Provider Business Practice Location Address
First Line : 913 DAKOTA RIVER AVE
Second Line :
City : EL PASO
State : TX
Zip : 79932-1836
Country : US
Telephone Number : 915-262-6318
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/04/2019
Last Update Date : 07/04/2019

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Directions to “ HAZEL BEATRIZ NIETO LVN” Practice Location

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