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NPI Code Detail

MEDICARE: MRS. ANA M TIRADO RN

MEDICARE:  MRS. ANA M TIRADO  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 Nurse589140NY
2163W00000XRegistered NurseRN9183206FL

General Provider Information

NPI Number : 1134628647
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ANA M TIRADO RN
Provider Business Mailing Address
First Line : 9374 SW 173RD TER
Second Line :
City : PALMETTO BAY
State : FL
Zip : 33157-5724
Country : US
Telephone Number : 305-343-0621
Fax Number :
Provider Business Practice Location Address
First Line : 9374 SW 173RD TER
Second Line :
City : PALMETTO BAY
State : FL
Zip : 33157-5724
Country : US
Telephone Number : 305-343-0621
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/09/2018
Last Update Date : 01/26/2021

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Directions to “ MRS. ANA M TIRADO RN” Practice Location

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