# GREG L TESTERMAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1154979938
- **Gender:** Man
- **Credential:** ANP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WG0000X | General Practice Registered Nurse | 2004024273 | MO | — |
| 363LA2200X | Adult Health Nurse Practitioner | 2004024273 | MO | — |
| 363LA2200X | Adult Health Nurse Practitioner | 2019032538 | MO | Yes |

## Other

- **Enumeration date:** 08/26/2019
- **Last updated:** 02/05/2020