Doctor Name: | TERESA HAGERTY |
NPI Number: | 1669892246 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | R169944 |
Business Practice Address: | 36970 Old Mill Bridge Rd Selbyville, DE - 199753935 |
Business Phone Number: | 3012332121 |
Business Fax Number: | |
Mailing Address: | 36970 Old Mill Bridge Rd, SELBYVILLE |
State: | DE |
Postal Code: | 199753935 |
Phone Number: | 3012332121 |
Fax Number: | |
NPI Enumeration Date: | 04/22/2014 |
NPI Last Update Date: | 04/22/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WN0002X |
License Number: | R169944 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Neonatal Intensive Care |
Taxonomy Definition: |