Individual
TERESA KIRK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
5151 N 9TH AVE, PENSACOLA, FL 32504-8721
(850) 416-6670
(850) 416-4694
Mailing address
5151 N 9TH AVE, PENSACOLA, FL 32504-8721
(850) 416-6670
(850) 416-4694
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ARNP9193039
FL
363L00000X
Nurse Practitioner
APRN9193039
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
307765900
—
FL
Enumeration date
10/24/2006
Last updated
07/29/2024
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