Individual
MRS. CARLA TORRES HADDOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
277 W CHALAN SANTO PAPA, HAGATNA, GU 96910-5115
(671) 486-0000
Mailing address
277 W CHALAN SANTO PAPA, HAGATNA, GU 96910-5115
(671) 486-0000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RX0607
GU
363LA2100X
Acute Care Nurse Practitioner
NP0187
GU
363LF0000X
Family Nurse Practitioner
Primary
NP0187
GU
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NP0187
NP LICENSE
GU
01
—
RX0607
RN LICENSE
GU
Enumeration date
07/10/2018
Last updated
09/17/2018
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