Healthcare Provider Details

I. General information

NPI: 1346478864
Provider Name (Legal Business Name): MARIA KHRISTINE TECSON RN, ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/23/2009
Last Update Date: 10/09/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

901 45TH ST
WEST PALM BEACH FL
33407-2413
US

IV. Provider business mailing address

20831 SAN SIMEON WAY APT 204
MIAMI FL
33179-1843
US

V. Phone/Fax

Practice location:
  • Phone: 561-882-2913
  • Fax:
Mailing address:
  • Phone: 305-467-1405
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0222X
TaxonomyCritical Care Pediatric Nurse Practitioner
License NumberARNP9220275
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code163WP0200X
TaxonomyPediatric Registered Nurse
License NumberRN9220275
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: