Individual
KATIE TEAGUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
309 JACKSON ST, MONROE, LA 71201-7407
(318) 966-4000
Mailing address
765 KEYSTONE RD, MONROE, LA 71203-8784
(225) 803-3838
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN156685
LA
367500000X
Certified Registered Nurse Anesthetist
Primary
239720
LA
Other
Enumeration date
12/11/2023
Last updated
02/03/2025
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