Doctor Name: | TERESA MARIA CORDEIRO |
NPI Number: | 1366457889 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ANP |
License Number: | 200150053NP |
Business Practice Address: | 685 Morro Ave Suite C Morro Bay, CA - 934422233 |
Business Phone Number: | 8057727313 |
Business Fax Number: | 8057720395 |
Mailing Address: | 504 Plaza Dr, SANTA MARIA |
State: | CA |
Postal Code: | 934546917 |
Phone Number: | 8057393474 |
Fax Number: | |
NPI Enumeration Date: | 07/31/2006 |
NPI Last Update Date: | 05/12/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | 200150053NP |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OR |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |