NPI 1043549918 MS. TEQUILA J STATEN ARNP BOWLING GREEN KY. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Ms. Tequila J Staten - NPI: 1043549918

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: MS. TEQUILA J STATEN
NPI Number: 1043549918
Entity Type Code: Individual (1)
Gender: F
Credentials: ARNP
License Number: 3006238
Business Practice Address: 1330 N Race St
Glasgow, KY - 421413465
Business Phone Number: 2706295111
Business Fax Number: 2706295115
Mailing Address: 201 Park St,
BOWLING GREEN
State: KY
Postal Code: 421011759
Phone Number: 2707802497
Fax Number: 2707833750
NPI Enumeration Date: 12/23/2009
NPI Last Update Date: 07/21/2014
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 363LF0000X
License Number: 3006238
Healthcare Provider Taxonomy:
(Secondary)
Y
State: KY
Taxonomy Type: Physician Assistants & Advanced Practice Nursing Providers
Taxonomy Classification: Nurse Practitioner
Taxonomy Specialization: Family
Taxonomy Definition:


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