Individual
MRS. SUE LYNNE TESCHNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2610 TENDERFOOT HILL ST, COLORADO SPRINGS, CO 80906
(719) 522-1133
(719) 226-8681
Mailing address
PO BOX 35380, LAS VEGAS, NV 89133-5380
(702) 579-3203
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA.0004415
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1041493
NCCPA NUMBER
—
05
—
9000162218
—
CO
01
—
PA.0004415
CO MED LICENSE
CO
Enumeration date
09/13/2006
Last updated
04/16/2026
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