Individual
MRS. CHRYSTA YVONNE TEEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MSN, CPNP-AC
Contact information
Practice address
801 7TH AVE, FORT WORTH, TX 76104-2733
(682) 885-7942
Mailing address
PO BOX 733784, DALLAS, TX 75373-3784
(682) 885-3426
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
813238
TX
363LP0222X
Critical Care Pediatric Nurse Practitioner
813238
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
419231201
—
TX
Enumeration date
02/23/2012
Last updated
03/25/2021
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