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General NPI Number Information
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NPI Number | 1427946011
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Entity Type | Individual
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Provider Name | ANA NAYETZI DE CUESTA
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Gender | Female
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Dates
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Enumeration Date | 06/24/2025
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Last Update Date | 06/24/2025
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Provider Practice Location Address
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Address Line | 12615 LAS MAJADAS RANCH RD
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City | RAYMONVILLE
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State | TX
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Zip | 78580
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Country | US
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Telephone | 956-742-8545
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Fax |
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Provider Business Mailing Address
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Address Line | 149 CAMEO DR
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City | SAN BENITO
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State | TX
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Zip | 78586-0193
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Country | US
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Telephone | 956-752-8545
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WP0807X
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Taxonomy Name | Child & Adolescent Psychiatric/Mental Health Registered Nurse
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License Number | 1053448
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License Number State | TX
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