| Doctor Name: | AMBER TEAL |
| NPI Number: | 1073934972 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN |
| License Number: | R29020 |
| Business Practice Address: | 520 N Main St Belen, NM - 870023720 |
| Business Phone Number: | 5059661904 |
| Business Fax Number: | 5059661950 |
| Mailing Address: | 520 N Main St, BELEN |
| State: | NM |
| Postal Code: | 870023720 |
| Phone Number: | 5059661904 |
| Fax Number: | |
| NPI Enumeration Date: | 12/18/2013 |
| NPI Last Update Date: | 12/18/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WS0200X |
| License Number: | R29020 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NM |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | School |
| Taxonomy Definition: | |