Individual
TERESA ANNE DEESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN MSN BC
Contact information
Practice address
102 THOMAS ROAD, SUITE 400 B, WEST MONROE, LA 71291
(318) 998-0353
(318) 998-0357
Mailing address
130 DESIARD STREET, SUITE 355, MONROE, LA 71201
(318) 807-7875
(318) 812-6603
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN051725AP0407
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1037397
—
LA
Enumeration date
07/06/2006
Last updated
04/17/2015
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