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NPI Code Detail

MEDICARE: TINA ROSALIE FIORETTI PA

MEDICARE: TINA ROSALIE FIORETTI PA
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
1363AS0400XSurgical Physician Assistant085007166IL
2363A00000XPhysician Assistant085007166IL
3363A00000XPhysician Assistant0010-15559NC

General Provider Information

NPI Number : 1942858253
Entity Type Code : Individual
Provider Name (Legal Business Name) : TINA ROSALIE FIORETTI PA
Provider Business Mailing Address
First Line : 506 AZALEA DR
Second Line :
City : HAMPSTEAD
State : NC
Zip : 28443-8040
Country : US
Telephone Number : 847-525-2963
Fax Number :
Provider Business Practice Location Address
First Line : 1726 NEW HANOVER MEDICAL PARK DR
Second Line :
City : WILMINGTON
State : NC
Zip : 28403-5344
Country : US
Telephone Number : 910-662-9384
Fax Number : 910-667-2566
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/29/2019
Last Update Date : 05/22/2026

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Directions to “ TINA ROSALIE FIORETTI PA” Practice Location

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