Individual
EVELYN L TEAGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1 MEDICAL CENTER DR, ENDOCRINOLOGY, LEBANON, NH 03756-1000
(603) 650-8630
Mailing address
1 MEDICAL CENTER DR, ENDOCRINOLOGY, LEBANON, NH 03756-1000
(603) 650-8630
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
049909-23
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1017345
—
VT
05
—
3077371
—
NH
Enumeration date
03/04/2010
Last updated
10/16/2018
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