Individual
MS. ELLEN ANN TEETERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
5 WILLIS CT, WASHINGTON COURT HOUSE, OH 43160-1073
(937) 403-5051
Mailing address
5 WILLIS CT, WASHINGTON COURT HOUSE, OH 43160-1073
(937) 403-5051
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN.074442.MEDS-IV
OH
Other
Enumeration date
06/28/2022
Last updated
06/28/2022
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