MEDICARE: MRS. TERESA ARLENE TINCOPA 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
1	363LF0000X	Family Nurse Practitioner	345694	CA

General Provider Information

NPI Number	:	1609853233
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. TERESA ARLENE TINCOPA FNP

Provider Business Mailing Address
First Line	:	8420 LINDANTE DR
Second Line	:
City	:	WHITTIER
State	:	CA
Zip	:	90603-1012
Country	:	US
Telephone Number	:	562-947-4548
Fax Number	:	562-693-1249

Provider Business Practice Location Address
First Line	:	6301 GREENLEAF AVE
Second Line	:
City	:	WHITTIER
State	:	CA
Zip	:	90601-3536
Country	:	US
Telephone Number	:	562-693-9880
Fax Number	:	562-693-1249

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

Provider Enumeration Date	:	12/24/2005
Last Update Date	:	07/28/2008

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