Individual
LAUREN KRISTI TEELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(904) 953-2000
Mailing address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(904) 953-2000
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
218655
NC
367500000X
Certified Registered Nurse Anesthetist
104052
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP9489110
FL
Other
Enumeration date
07/09/2014
Last updated
10/15/2020
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