| Doctor Name: | TERESA MAGANA |
| NPI Number: | 1891884334 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP |
| License Number: | 11924 |
| Business Practice Address: | 387 Civic Drive Galt, CA - 956322059 |
| Business Phone Number: | 2097458080 |
| Business Fax Number: | 2097458085 |
| Mailing Address: | Po Box 241011, LODI |
| State: | CA |
| Postal Code: | 952419511 |
| Phone Number: | 2096424175 |
| Fax Number: | 2093694880 |
| NPI Enumeration Date: | 10/12/2006 |
| NPI Last Update Date: | 04/07/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 11924 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |