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NPI Code Detail

MEDICARE: NATACHA THEANO

MEDICARE: NATACHA THEANO
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
1163W00000XRegistered Nurse615048NY

General Provider Information

NPI Number : 1659692689
Entity Type Code : Individual
Provider Name (Legal Business Name) : NATACHA THEANO
Provider Business Mailing Address
First Line : 1525 BANTAM PL
Second Line :
City : BRONX
State : NY
Zip : 10469-5928
Country : US
Telephone Number : 347-920-3521
Fax Number :
Provider Business Practice Location Address
First Line : 1525 BANTAM PL
Second Line :
City : BRONX
State : NY
Zip : 10469-5928
Country : US
Telephone Number : 347-920-3521
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/14/2010
Last Update Date : 06/14/2010

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Directions to “ NATACHA THEANO ” Practice Location

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