Individual
TEAISHA DALIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2 CHASE CORPORATE DR, HOOVER, AL 35244-1016
(860) 902-6287
Mailing address
2 CHASE CORPORATE DR, HOOVER, AL 35244-1016
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
173168
AL
363LF0000X
Family Nurse Practitioner
Primary
2022045151
AL
363LF0000X
Family Nurse Practitioner
F12220793
AL
Other
Enumeration date
02/20/2023
Last updated
02/20/2023
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