Mariaelena Eleanora Tice in Temple - Nurse Practitioner
Mariaelena Eleanora Tice - NPI 1265475081
Mariaelena Eleanora Tice is a Nurse Practitioner in Temple, Texas. Mariaelena Eleanora Tice practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Mariaelena Eleanora Tice is 1265475081. The last update date is 2007-07-08.
Mariaelena Eleanora Tice's current location address is 4777 Gub Club Road, Temple, Texas. You can contact this provider via phone number 2545532750 and fax number 2542856193. The mailing address for Mariaelena Eleanora Tice is 4777 Gub Club Road, Temple, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mariaelena Eleanora Tice |
|---|---|
| Address | 4777 Gub Club Road, Temple, Texas |
| Phone Number | 2545532750 |
| Fax Number | 2542856193 |
| Sole Proprietor | N |
| Credentials | RN, CPNP |
NPI Number Detail
| NPI Number | 1265475081 |
|---|---|
| Provider Enumeration Date | 2006-06-13 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4777 Gub Club Road |
|---|---|
| City | Temple |
| State | Texas (TX) |
| Post Code | 76501 |
| Phone Number | 2545532750 |
| Fax Number | 2542856193 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | 449918 |
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Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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What is the unique 10-digit identifier code assigned to Mariaelena Eleanora Tice by the Centers for Medicare & Medicaid Services?
The Mariaelena Eleanora Tice has been issued the NPI (National Provider Identifier) 1265475081 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Mariaelena Eleanora Tice's physical address?
The Mariaelena Eleanora Tice is physically located at 4777 Gub Club Road, in the city of Temple, TX, with the postal code 76501.
What is Mariaelena Eleanora Tice's area of expertise and its corresponding taxonomy classification?
The Mariaelena Eleanora Tice's field of specialization is Nurse Practitioner, and it falls under the taxonomy code 363L00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Mariaelena Eleanora Tice receive its 1265475081 assignment from the Centers for Medicare & Medicaid Services?
The Mariaelena Eleanora Tice was assigned its 1265475081 by the Centers for Medicare & Medicaid Services on 2006-06-13.
When was the information regarding Mariaelena Eleanora Tice most recently updated?
The details pertaining to the Mariaelena Eleanora Tice, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.