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NPI Code Detail

MEDICARE: MRS. EVELYN (EVA) DENISE TALLEY GIEDT PMH NP

MEDICARE: MRS. EVELYN (EVA) DENISE TALLEY GIEDT PMH NP
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
1363LP0808XPsychiatric/Mental Health Nurse PractitionerNP 20661CA

General Provider Information

NPI Number : 1780977413
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. EVELYN (EVA) DENISE TALLEY GIEDT PMH NP
Provider Business Mailing Address
First Line : 183 SARGENT CT
Second Line :
City : MONTEREY
State : CA
Zip : 93940-3115
Country : US
Telephone Number : 831-236-7110
Fax Number : 831-484-1348
Provider Business Practice Location Address
First Line : 183 SARGENT CT
Second Line :
City : MONTEREY
State : CA
Zip : 93940-3115
Country : US
Telephone Number : 831-236-7110
Fax Number : 831-484-1348
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/27/2011
Last Update Date : 05/27/2011

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