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NPI Code Detail

MEDICARE: MS. TERESE PALAZZO TRUJILLO N.P.

MEDICARE: MS. TERESE PALAZZO TRUJILLO N.P.
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
1363LF0000XFamily Nurse Practitioner13357CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1377138OTHERCAREGISTERED NURSE
213357OTHERCANURSE PRACTITIONER CERT.
313357OTHERCANP FURNISHING NO.

General Provider Information

NPI Number : 1871709329
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. TERESE PALAZZO TRUJILLO N.P.
Provider Business Mailing Address
First Line : 14649 EVENING STAR DR
Second Line :
City : POWAY
State : CA
Zip : 92064-3016
Country : US
Telephone Number : 858-231-0654
Fax Number : 858-679-1932
Provider Business Practice Location Address
First Line : 1509 E VALLEY PKWY
Second Line :
City : ESCONDIDO
State : CA
Zip : 92027-2315
Country : US
Telephone Number : 760-746-1562
Fax Number : 760-746-0711
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/14/2007
Last Update Date : 12/03/2013

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