MILENA TELLECHEA CASANUEVA


Address: 761 Santo Domingo Ave Sw, Palm Bay, FL 32908
Phone: 3058783037

MILENA TELLECHEA CASANUEVA (NPI# 1043663537) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1043663537
Entity Type Individual
Full Name MILENA TELLECHEA CASANUEVA
Credential ARNP
Practice Address 761 Santo Domingo Ave Sw
Palm Bay
FL 32908
Mailing Address 761 Santo Domingo Ave Sw
Palm Bay
FL 32908-7427
Practice Telephone 3058783037
Mailing Telephone 3058783037
Enumeration Date 2016-07-19
Last Update Date 2018-08-03
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WG0600X Registered Nurse
Specialization: Gerontology
ARNP FL Nursing Service Providers

Office Location

Street Address 761 SANTO DOMINGO AVE SW
City PALM BAY
State FL
Zip Code 32908

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NPI Name Taxonomy Address Enumeration
1023351996 Zion's Assisted Living Facility, Inc. Assisted Living Facility 2029 Jupiter Blvd Sw, Palm Bay, FL 32908 2013-03-29
1710267364 Laurie Kay Bailey Massage Therapist 3098 Cambria Avenue, Palm Bay, FL 32908 2011-08-26
1689797946 Fritz Delmont Licensed Practical Nurse 3056 Ferdon Ave, Palm Bay, FL 32908 2007-04-09
1801340732 Trinity Non Emergency Medical Transportation LLC Non-emergency Medical Transport (VAN) 1590 La Maderia Dr Sw, Palm Bay, FL 32908-1100 2016-08-09
1326354606 Merlyn Labrador Marriage & Family Therapist 1500 Las Palmos Dr Sw, Palm Bay, FL 32908-1120 2010-08-25
1245544303 Matthew M Fisher Massage Therapist 1570 Las Palmos Dr Sw, Palm Bay, FL 32908-1120 2010-07-31
1780999284 Colleen M Fisher Massage Therapist 1570 Las Palmos Dr Sw, Palm Bay, FL 32908-1120 2010-08-10
1922271220 Marrilyn K Tennyson Occupational Therapist 1700 Las Palmos Dr Sw, Palm Bay, FL 32908-1122 2008-04-08
1528531076 Al-quiyamah Ghafur Faiz Counselor 1606 Sawgrass Dr Sw, Palm Bay, FL 32908-1126 2019-01-08
1922028182 Aaron Thomas Parr Specialist/Technologist 1901 Degroodt Rd Sw, Palm Bay, FL 32908-1206 2006-07-20
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Taxonomy Information

Taxonomy Code 163WG0600X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Gerontology

Taxonomy Definition

Definition to come...

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1578101226 Logan Andrews Registered Nurse 7280 Sw Sr 26, Trenton, FL 32693 2019-12-12
1720631542 Evelio Manteira Barban Registered Nurse 17425 Sw 108th Ct, Miami, FL 33157-4001 2019-07-21
1861952715 Elenora Vidal-pascal Registered Nurse 2626 Care Dr Ste 200, Tallahassee, FL 32308-4489 2019-03-25
1619400363 Tena Grant Registered Nurse 5171 Sw 139th Ter, Miramar, FL 33027 2017-04-10
1427501543 Lori Dzera Registered Nurse 5448 Avenida Del Mare, Sarasota, FL 34242-1913 2016-07-25
1730565227 Phyllis Tyson Registered Nurse 7034 Minippi Dr, Orlando, FL 32818-3345 2015-08-06
1649661083 Marcia Suckie Registered Nurse 15171 Nw 6th Ct, Pembroke Pines, FL 33028-1831 2015-02-06
1073917993 Cynthia Lou Figueroa-haas Registered Nurse 4720 Sw 103rd Way, Gainesville, FL 32608-7180 2014-10-21
1629332598 Rosemary Anne Brown Registered Nurse 1131 Sw Hogan St, Port St Lucie, FL 34983-2824 2012-06-26
1417113499 Paul Fulton Sink Jr. Registered Nurse 1027 38th Ave N, St Petersburg, FL 33704-1146 2008-07-30
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Competitor

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City PALM BAY
Zip Code 32908

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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