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LEYRA TERESA PELICANO-GOERS DNP AGPCNP-BC RN NPI 1275995193


NPI Information

NPI: 1275995193
Provider Name: LEYRA TERESA PELICANO-GOERS, DNP, AGPCNP-BC, RN
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

PECOS Registration: Yes

Address:
72780 COUNTRY CLUB DR
SUITE 100
RANCHO MIRAGE, CA
ZIP 92270
Phone: (760) 773-9750
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Leyra Teresa Pelicano-goers, DNP, AGPCNP-BC, RN is an adult health nurse practitioner in Rancho Mirage, CA. Leyra Teresa Pelicano-goers, DNP, AGPCNP-BC, RN NPI is 1275995193. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

72780 COUNTRY CLUB DR
SUITE 100
RANCHO MIRAGE, CA
ZIP 92270-126
Phone: (760) 773-9750
Fax: (760) 773-9294

The NPI 1275995193 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/22/2016 and was last updated on 3/22/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LA2200XNurse PractitionerAdult Health2004045CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.