Individual
TERESA ANTLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, APRN FNP-C
Contact information
Practice address
600 N FANT ST, ANDERSON, SC 29621-5704
(864) 512-2000
Mailing address
116 ARBOR ST, DENMARK, SC 29042-1357
(803) 824-3362
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
216967
SC
363L00000X
Nurse Practitioner
Primary
28544
SC
Other
Enumeration date
03/11/2024
Last updated
09/23/2024
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