Individual
MISS TERESA ANN DELONGCHAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
5301 MCAULEY DR, YPSILANTI, MI 48197-1051
(734) 712-3456
Mailing address
4828 N DAVIS HWY, PENSACOLA, FL 32503-2341
(850) 477-8109
(850) 476-5313
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704144452
MI
367500000X
Certified Registered Nurse Anesthetist
ARNP9444717
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022648800
—
FL
01
—
UP4FC
BCBS
FL
Enumeration date
10/28/2009
Last updated
08/12/2025
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