THERESA FOGAL NPI 1144776170

NPI Information

NPI: 1144776170
Provider Name: THERESA FOGAL
Classification: Respite Care - 385H00000X
Entity Type: Individual
Address:
4310 TORO CT
RENO, NV
ZIP 89502
Phone: (775) 852-1078
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Theresa Fogal is a respite care in Reno, NV. Theresa Fogal NPI is 1144776170. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4310 TORO CT
RENO, NV
ZIP 89502-426
Phone: (775) 852-1078

The enumeration date for this NPI number is 8/30/2016 and was last updated on 8/30/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	385H00000X	Respite Care				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1821451675	MEDICAID	NEVADA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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