Individual
ANDREW TEALEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1213 HAMILTON DR, WEST CHESTER, PA 19380-3307
(918) 808-6823
Mailing address
1213 HAMILTON DR, WEST CHESTER, PA 19380-3307
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
624593
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
RN657548
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149632502
—
TX
05
—
200109250A
—
OK
01
—
84119U
BCBSTX
TX
Enumeration date
10/25/2005
Last updated
11/30/2016
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