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NPI Code Detail

MEDICARE: MARIA TERESA SERRANO RN

MEDICARE: MARIA TERESA SERRANO RN
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
1163W00000XRegistered NurseRN60139322WA

General Provider Information

NPI Number : 1083447395
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIA TERESA SERRANO RN
Provider Business Mailing Address
First Line : PO BOX 959
Second Line :
City : YAKIMA
State : WA
Zip : 98907-0959
Country : US
Telephone Number : 509-575-4084
Fax Number :
Provider Business Practice Location Address
First Line : 402 S 4TH AVE
Second Line :
City : YAKIMA
State : WA
Zip : 98902-3546
Country : US
Telephone Number : 509-575-4084
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/22/2024
Last Update Date : 06/02/2026

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Directions to “ MARIA TERESA SERRANO RN” Practice Location

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