Individual
MRS. ALICE M. TEALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
204 PATRICK AVE, URBANA, OH 43078-2302
(937) 484-6181
Mailing address
204 PATRICK AVE, URBANA, OH 43078-2302
(937) 484-6181
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
FNP 0346682-22
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2477207
—
OH
Enumeration date
11/27/2006
Last updated
10/13/2014
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