Individual
TERESA M. CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
1801 W ROMNEYA DR, STE. 303, ANAHEIM, CA 92801-1830
(714) 780-5400
(714) 533-0945
Mailing address
5801 E 7TH ST, LONG BEACH, CA 90822
(714) 780-5400
(714) 533-0945
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
357578
CA
363LG0600X
Gerontology Nurse Practitioner
357578
CA
Other
Enumeration date
05/17/2006
Last updated
07/12/2007
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