Individual
TERESA ALTAWIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGPCNP-BC
Contact information
Practice address
25130 SOUTHFIELD RD STE 120, SOUTHFIELD, MI 48075-1900
(248) 234-6799
Mailing address
20905 KNOBS HOLLOW DR, MACOMB, MI 48044-6326
(586) 567-5556
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
AG05210095
MI
Other
Enumeration date
08/23/2021
Last updated
10/29/2025
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