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NPI Code Detail

MEDICARE: LIGIA LIANA TOFANEL FNP

MEDICARE:   LIGIA LIANA TOFANEL  FNP
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
1363LF0000XFamily Nurse PractitionerAP135574TX

General Provider Information

NPI Number : 1578075081
Entity Type Code : Individual
Provider Name (Legal Business Name) : LIGIA LIANA TOFANEL FNP
Provider Business Mailing Address
First Line : 333 LONDONDERRY DR STE 200
Second Line :
City : WACO
State : TX
Zip : 76712-7930
Country : US
Telephone Number : 254-751-9777
Fax Number : 254-751-9788
Provider Business Practice Location Address
First Line : 333 LONDONDERRY DR STE 200
Second Line :
City : WACO
State : TX
Zip : 76712-7930
Country : US
Telephone Number : 254-751-9777
Fax Number : 254-751-9788
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/25/2017
Last Update Date : 12/07/2022

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Directions to “ LIGIA LIANA TOFANEL FNP” Practice Location

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