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Individual

TERESA B. MISKIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
1716 HARTFORD ST, LAFAYETTE, IN 47904-2173
(765) 742-1567
(765) 429-6961
Mailing address
1716 HARTFORD ST, LAFAYETTE, IN 47904-2173
(765) 742-1567
(765) 429-6961

Taxonomy

Speciality
Code
Description
License number
State
163WP1700X
Perinatal Registered Nurse
Primary
28170348A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
28170348A
STATE LICENSE
IN
Enumeration date
11/14/2008
Last updated
11/14/2008
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