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Individual
TERESA J SHAPIRO
Active
Individual
TERESA J SHAPIRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN091275
AZ
363L00000X
Nurse Practitioner
Primary
SP010045
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1031508190001
—
PA
05
—
377384
—
AZ
01
—
500004960
RAILROAD MEDICARE
AZ
Enumeration date
11/10/2006
Last updated
03/28/2017
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