Individual
TERESA CIRVELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
511 LONGWORTH BLVD, DUNCANVILLE, TX 75116-2505
(817) 201-5760
Mailing address
511 LONGWORTH BLVD, DUNCANVILLE, TX 75116-2505
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
635972
TX
363L00000X
Nurse Practitioner
Primary
AP140774
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
32059450257
TEXAS SALES AND USE TAX PERMIT
TX
Enumeration date
10/24/2018
Last updated
05/22/2019
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