Provider Demographics
NPI:1902363963
Name:TRETO, ROSALIA (MSN, APRN, FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:ROSALIA
Middle Name:
Last Name:TRETO
Suffix:
Gender:F
Credentials:MSN, APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:520 BEAVER CREEK RD
Mailing Address - Street 2:
Mailing Address - City:POWDERLY
Mailing Address - State:TX
Mailing Address - Zip Code:75473-5506
Mailing Address - Country:US
Mailing Address - Phone:254-717-5674
Mailing Address - Fax:
Practice Address - Street 1:2015 MULBERRY AVE STE 310
Practice Address - Street 2:
Practice Address - City:MOUNT PLEASANT
Practice Address - State:TX
Practice Address - Zip Code:75455-2316
Practice Address - Country:US
Practice Address - Phone:903-577-7070
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-02-26
Last Update Date:2019-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP139846363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily