Individual
MISTIE RACHELLE TEER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3950 KRESGE WAY STE 207, LOUISVILLE, KY 40207
(502) 893-0220
(502) 893-0563
Mailing address
2700 STANLEY GAULT PKWY STE 129, LOUISVILLE, KY 40223-5176
(502) 253-4900
(502) 489-5750
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3005928
KY
363LA2200X
Adult Health Nurse Practitioner
3005928
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201342940
—
IN
05
—
7100086330
—
KY
Enumeration date
02/03/2009
Last updated
12/03/2020
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