# MS. THERESA LEE MCQUAIDE

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

## Provider details

- **NPI number:** 1770692048
- **Gender:** F
- **Credential:** ANP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WG0000X | General Practice Registered Nurse | 041-331941 | IL | — |
| 163WG0000X | General Practice Registered Nurse | RN117389 | MO | — |
| 363LA2200X | Adult Health Nurse Practitioner | 117389 | MO | Yes |
| 363LA2200X | Adult Health Nurse Practitioner | 209-005264 | IL | — |
| 364S00000X | Clinical Nurse Specialist | 209-004439 | IL | — |

## Other

- **Enumeration date:** 08/30/2006
- **Last updated:** 11/27/2013