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Individual

TERESA MARIA CORDEIRO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ANP

Contact information

Practice address
2 JAMES WAY STE 209, PISMO BEACH, CA 93449-4976
(805) 773-7440
Mailing address
504 PLAZA DR, SANTA MARIA, CA 93454-6917
(805) 739-3474

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
NP 22983
CA
363LA2200X
Adult Health Nurse Practitioner
200140393RN
OR
363LA2200X
Adult Health Nurse Practitioner
200150053NP
OR
363LA2200X
Adult Health Nurse Practitioner
RN839870
CA

Other

Enumeration date
07/31/2006
Last updated
02/08/2017
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