Individual
ANA V TEAGUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
37 ASH ST, CENTRAL ISLIP, NY 11722-3853
(631) 575-8304
Mailing address
1 HOFFMAN LN, CENTRAL ISLIP, NY 11722-2528
(631) 796-4848
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
975522-01
NY
164W00000X
Licensed Practical Nurse
Primary
3070501
NY
Other
Enumeration date
10/15/2011
Last updated
01/27/2026
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