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NPI Code Detail

MEDICARE: MICHELLE MARIE TODERO BSN, DNAP

MEDICARE:   MICHELLE MARIE TODERO  BSN, DNAP
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
1367500000XCertified Registered Nurse AnesthetistRN9463414FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1205509114
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELLE MARIE TODERO BSN, DNAP
Provider Business Mailing Address
First Line : 1606 RIVERVIEW DR SE
Second Line :
City : MARIETTA
State : GA
Zip : 30067-4841
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1606 RIVERVIEW DR SE
Second Line :
City : MARIETTA
State : GA
Zip : 30067-4841
Country : US
Telephone Number : 818-321-5261
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/27/2021
Last Update Date : 07/27/2021

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Directions to “ MICHELLE MARIE TODERO BSN, DNAP” Practice Location

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