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NPI Code Detail

MEDICARE: MS. TERESA ROSE PLATT R.N.

MEDICARE: MS. TERESA ROSE PLATT R.N.
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
1163WM0705XMedical-Surgical Registered NurseRN-69982NM

General Provider Information

NPI Number : 1750607206
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. TERESA ROSE PLATT R.N.
Provider Business Mailing Address
First Line : 5171 MESA DEL OSO ROAD NE
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87111
Country : US
Telephone Number : 505-298-2175
Fax Number :
Provider Business Practice Location Address
First Line : 5171 MESA DEL OSO RD NE
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87111-3707
Country : US
Telephone Number : 505-298-2175
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/08/2010
Last Update Date : 04/08/2010

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