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TERESA LOERA LLC NPI 1346862406


NPI Information

NPI: 1346862406
Provider Name: TERESA LOERA LLC

Former Legal Business Name: TL FAMILY NURSE PRACTICE

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 03D2189441

Address:
4150 W PEORIA AVE STE 122
PHOENIX, AZ
ZIP 85029
Phone: (602) 918-3225
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TERESA LOERA LLC is a family medicine in Phoenix, AZ. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. TERESA LOERA LLC NPI is 1346862406. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Tl Family Nurse Practice.

The provider's business location address is:

4150 W PEORIA AVE STE 122
PHOENIX, AZ
ZIP 85029-951
Phone: (602) 918-3225

The provider's authorized official is Tara Begay .
The authorized official title is Np and has the following contact phone number (480) 652-9802.

The CLIA number assigned to this NPI record is 03D2189441 - practitioner other with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 5/12/2020 and was last updated on 6/30/2020.


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
1207Q00000XFamily MedicineYes

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

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