Individual
ANNE ELIZABETH TEACHOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
305 S STATE ST, ABERDEEN, SD 57401-4527
(605) 622-5000
(605) 622-5542
Mailing address
PO BOX 1460, ABERDEEN, SD 57402-1460
(605) 622-2876
(605) 622-2804
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2007006425
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200426780A
—
KS
05
—
910099902
—
MO
Enumeration date
04/10/2007
Last updated
04/13/2018
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