| Doctor Name: | MRS. TERESA RUDD GAETA |
| NPI Number: | 1881677045 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSN,CNP |
| License Number: | RN155522 NP01623 |
| Business Practice Address: | 29400 Lakeland Blvd Lubrizol Corporation Medical Depar Wickliffe, OH - 44092 |
| Business Phone Number: | 4403472411 |
| Business Fax Number: | 4403474704 |
| Mailing Address: | 38646 Bell Rd, WILLOUGHBY |
| State: | OH |
| Postal Code: | 440947522 |
| Phone Number: | 4402691527 |
| Fax Number: | |
| NPI Enumeration Date: | 11/22/2005 |
| NPI Last Update Date: | 09/26/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | RN155522 NP01623 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |