Healthcare Provider Details

I. General information

NPI: 1902363963
Provider Name (Legal Business Name): ROSALIA TRETO MSN, APRN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/26/2019
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3032 COMMUNICATIONS PKWY
PLANO TX
75093-8913
US

IV. Provider business mailing address

520 BEAVER CREEK RD
POWDERLY TX
75473-5506
US

V. Phone/Fax

Practice location:
  • Phone: 972-943-8440
  • Fax:
Mailing address:
  • Phone: 254-717-5674
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QA0005X
TaxonomyAmbulatory Family Planning Facility
License NumberAP139846
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP139846
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: