Individual
TERESA MARIE MCLEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP-BC
Contact information
Practice address
4200 NW 90TH BLVD, GAINESVILLE, FL 32606-3809
(352) 378-2121
(352) 379-6206
Mailing address
4611 NW 53RD AVE, GAINESVILLE, FL 32653-4898
(352) 371-0301
(352) 371-4635
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
ARNP 9357114
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020177500
—
FL
Enumeration date
07/06/2016
Last updated
10/19/2017
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