Doctor Name: | TERESA ANN VANTREASE |
NPI Number: | 1114227451 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | RN0000112421 |
Business Practice Address: | 1005 Union School Rd Gallatin, TN - 370662084 |
Business Phone Number: | 6152061100 |
Business Fax Number: | |
Mailing Address: | 2165 Highway 25 W, HARTSVILLE |
State: | TN |
Postal Code: | 370743646 |
Phone Number: | 6153744310 |
Fax Number: | |
NPI Enumeration Date: | 11/02/2010 |
NPI Last Update Date: | 11/02/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WC1500X |
License Number: | RN0000112421 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Community Health |
Taxonomy Definition: |