Provider Demographics
NPI:1609853233
Name:TINCOPA, TERESA ARLENE (FNP)
Entity Type:Individual
Prefix:MRS
First Name:TERESA
Middle Name:ARLENE
Last Name:TINCOPA
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8420 LINDANTE DR
Mailing Address - Street 2:
Mailing Address - City:WHITTIER
Mailing Address - State:CA
Mailing Address - Zip Code:90603-1012
Mailing Address - Country:US
Mailing Address - Phone:562-947-4548
Mailing Address - Fax:562-693-1249
Practice Address - Street 1:6301 GREENLEAF AVE
Practice Address - Street 2:
Practice Address - City:WHITTIER
Practice Address - State:CA
Practice Address - Zip Code:90601-3536
Practice Address - Country:US
Practice Address - Phone:562-693-9880
Practice Address - Fax:562-693-1249
Is Sole Proprietor?:No
Enumeration Date:2005-12-24
Last Update Date:2008-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA345694363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily