Doctor Name: | TERESA NESBIT |
NPI Number: | 1053303941 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP, CNM |
License Number: | ARNP 1483992 |
Business Practice Address: | 531 N Maitland Ave Maitland, FL - 327514421 |
Business Phone Number: | 3213971212 |
Business Fax Number: | 3213971213 |
Mailing Address: | 812 Brightwater Cir, MAITLAND |
State: | FL |
Postal Code: | 327514215 |
Phone Number: | 4076452999 |
Fax Number: | |
NPI Enumeration Date: | 08/17/2005 |
NPI Last Update Date: | 05/30/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LX0001X |
License Number: | ARNP 1483992 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Obstetrics & Gynecology |
Taxonomy Definition: |