MEDICARE: THERESA DOLORES NAVARRO

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
1	163WS0200X	School Registered Nurse	100275	NE

General Provider Information

NPI Number	:	1265316244
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	THERESA DOLORES NAVARRO

Provider Business Mailing Address
First Line	:	1010 CHILDS RD W
Second Line	:
City	:	BELLEVUE
State	:	NE
Zip	:	68147-2638
Country	:	US
Telephone Number	:	531-299-1182
Fax Number	:

Provider Business Practice Location Address
First Line	:	1010 CHILDS RD W
Second Line	:
City	:	BELLEVUE
State	:	NE
Zip	:	68147-2638
Country	:	US
Telephone Number	:	531-299-1182
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/04/2025
Last Update Date	:	08/04/2025

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Directions to “ THERESA DOLORES NAVARRO ” Practice Location

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