Individual
MS. TERESA LYNN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
6161 LAKE BRANDT RD UNIT B, GREENSBORO, NC 27455-8415
(336) 643-5800
(336) 643-7474
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(336) 643-5800
(336) 643-7474
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
200460
NC
363LF0000X
Family Nurse Practitioner
200460
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7005285
—
NC
Enumeration date
05/22/2007
Last updated
12/19/2023
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