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Organization
MILICARE PSYCHIATRY, PLLC
Active
Organization
MILICARE PSYCHIATRY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARREN TEZENO PMHNP (PSYCHIATRIC MENTAL HEALTH NURSE PRA)
(828) 436-0228
Entity
Organization
Contact information
Practice address
214 CHARLOTTE RD, RUTHERFORDTON, NC 28139-2914
(828) 436-0228
Mailing address
145 RIVERSIDE DR, RUTHERFORDTON, NC 28139-8162
(337) 842-4703
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/10/2025
Last updated
07/10/2025
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