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NPI Code Detail

MEDICARE: MRS. CELIA ITURRALDE MATA R.N.

MEDICARE:  MRS. CELIA ITURRALDE MATA  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
1374T00000XReligious Nonmedical Nursing PersonnelRN081647AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1760670095
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CELIA ITURRALDE MATA R.N.
Provider Business Mailing Address
First Line : 4400 W IRVINGTON RD
Second Line :
City : TUCSON
State : AZ
Zip : 85746-8425
Country : US
Telephone Number : 520-908-4516
Fax Number :
Provider Business Practice Location Address
First Line : 4400 W IRVINGTON RD
Second Line :
City : TUCSON
State : AZ
Zip : 85746-8425
Country : US
Telephone Number : 520-908-4516
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/11/2007
Last Update Date : 10/11/2007

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Directions to “ MRS. CELIA ITURRALDE MATA R.N.” Practice Location

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