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Individual
MRS. TERESA S PARKHOUSE
Active
Individual
MRS. TERESA S PARKHOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71005797A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000973691
BCBS BMG LAPORTE
IN
05
—
201330720
—
IN
Enumeration date
09/02/2015
Last updated
03/31/2021
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