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Individual
TERESA TALLON
Active
Individual
TERESA TALLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN262226
OH
163WW0000X
Wound Care Registered Nurse
1074586
KY
363L00000X
Nurse Practitioner
Primary
3003070
KY
363L00000X
Nurse Practitioner
APRN.CNP.06510
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2376861
—
OH
05
—
78003845
—
KY
Enumeration date
08/22/2005
Last updated
11/29/2023
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