Individual
MRS. TERESA K MUTERSPAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
1010 VALLEY ST, DAYTON, OH 45404
(937) 641-4000
(937) 641-4500
Mailing address
1 CHILDRENS PLZ, DAYTON, OH 45404-1815
(937) 641-3000
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN.CNP.07930
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2805601
—
OH
Enumeration date
11/21/2006
Last updated
10/19/2021
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