Individual
DEDRA TEEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN, MSN, NNP-BC
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-1922
Mailing address
7760 HI VIEW DR, NORTH ROYALTON, OH 44133-3820
(440) 668-3651
Taxonomy
Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
RN.416254
OH
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
APRN.CNP.022499
OH
Other
Enumeration date
03/14/2018
Last updated
03/14/2018
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