Individual
MRS. THERESA L CUEVAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.F.N.P.
Contact information
Practice address
1100 BROAD AVENUE, SUITE 600, GULFPORT, MS 39501
(228) 284-1634
(228) 284-1635
Mailing address
3322 W END AVE, 11TH FLOOR, NASHVILLE, TN 37203-1031
(615) 515-9880
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R850390
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00124120
—
MS
Enumeration date
11/21/2006
Last updated
03/07/2014
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