| Doctor Name: | TERESA POSTMA |
| NPI Number: | 1992160519 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 28106933A |
| Business Practice Address: | 622 Azalea St Se Demotte, IN - 463108744 |
| Business Phone Number: | 2199163577 |
| Business Fax Number: | |
| Mailing Address: | 622 Azalea St Se, DEMOTTE |
| State: | IN |
| Postal Code: | 463108744 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 12/26/2015 |
| NPI Last Update Date: | 12/26/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WW0000X |
| License Number: | 28106933A |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IN |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Wound Care |
| Taxonomy Definition: | |