Provider Demographics
NPI:1699144386
Name:TIONGSON, MARIE-FE BELOCURA (MSN, RN, PHN)
Entity type:Individual
Prefix:MS
First Name:MARIE-FE
Middle Name:BELOCURA
Last Name:TIONGSON
Suffix:
Gender:F
Credentials:MSN, RN, PHN
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Mailing Address - Street 1:1119 EAST MONTE VISTA AVE, MS 32-175
Mailing Address - Street 2:INTEGRATED CARE CLINIC - ADULT MENTAL HEALTH
Mailing Address - City:VACAVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95688
Mailing Address - Country:US
Mailing Address - Phone:707-469-4664
Mailing Address - Fax:707-448-1119
Practice Address - Street 1:1119 EAST MONTE VISTA AVE, MS 32-175
Practice Address - Street 2:INTEGRATED CARE CLINIC - ADULT MENTAL HEALTH
Practice Address - City:VACAVILLE
Practice Address - State:CA
Practice Address - Zip Code:95688
Practice Address - Country:US
Practice Address - Phone:707-469-4664
Practice Address - Fax:707-448-1119
Is Sole Proprietor?:No
Enumeration Date:2015-09-23
Last Update Date:2023-07-06
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Provider Licenses
StateLicense IDTaxonomies
CA492117163W00000X, 163WC0400X, 163WC1500X, 163WG0000X, 163WP0808X, 163WP2201X
CARN492117163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No163WC0400XNursing Service ProvidersRegistered NurseCase Management
No163WC1500XNursing Service ProvidersRegistered NurseCommunity Health
No163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice
No163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health
No163WP2201XNursing Service ProvidersRegistered NurseAmbulatory Care