Individual
TEADRA NEALY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP
Contact information
Practice address
1817 MERINO LN, PFLUGERVILLE, TX 78660-4491
(850) 766-1214
Mailing address
1817 MERINO LN, PFLUGERVILLE, TX 78660-4491
(850) 766-1214
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
751478
TX
363L00000X
Nurse Practitioner
Primary
AP144225
TX
363LA2200X
Adult Health Nurse Practitioner
AP144225
TX
363LG0600X
Gerontology Nurse Practitioner
AP144225
TX
Other
Enumeration date
02/12/2020
Last updated
04/19/2023
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