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NPI Code Detail

MEDICARE: ARNETTE TINEO RN

MEDICARE:   ARNETTE  TINEO  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
1163WP0809XAdult Psychiatric/Mental Health Registered Nurse141347NC

General Provider Information

NPI Number : 1619659323
Entity Type Code : Individual
Provider Name (Legal Business Name) : ARNETTE TINEO RN
Provider Business Mailing Address
First Line : 7800 FALLS OF NEUSE ROAD
Second Line : PO BOX 97576
City : RALEIGH
State : NC
Zip : 27615
Country : US
Telephone Number : 984-480-6535
Fax Number :
Provider Business Practice Location Address
First Line : 7701 MOURNING DOVE RD
Second Line :
City : RALEIGH
State : NC
Zip : 27615-5010
Country : US
Telephone Number : 919-847-7769
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/02/2023
Last Update Date : 08/02/2023

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