Individual
TERESA MICHELLE DESERT
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
37814 MEDICAL ARTS CT, ZEPHYRHILLS, FL 33541-4325
(813) 780-2550
(813) 780-1450
Mailing address
29532 DARBY RD., DADE CITY, FL 33525
(352) 588-2099
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
RN9174700
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN9174700
NURSING LICENSE
FL
Enumeration date
10/19/2005
Last updated
07/08/2007
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