Individual
MS. TERESA M CHAHINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MSN, PMHNP-BC
Contact information
Practice address
13854 LAKESIDE CIR, STERLING HEIGHTS, MI 48313-1316
(586) 806-9355
Mailing address
5600 W MAPLE RD STE B206, WEST BLOOMFIELD, MI 48322-3707
(248) 629-0330
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4704170841
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0N13980
—
MI
Enumeration date
10/29/2010
Last updated
08/23/2013
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