Individual
EDWARD ROBERT TEARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN-BC
Contact information
Practice address
1144 65TH ST STE F, OAKLAND, CA 94608-1053
(510) 929-1400
(510) 929-1414
Mailing address
1144 65TH ST STE F, OAKLAND, CA 94608-1053
(510) 929-1400
(510) 929-1414
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APN001488
NV
363LA2200X
Adult Health Nurse Practitioner
Primary
95003095
CA
363LA2200X
Adult Health Nurse Practitioner
A0213013
NV
Other
Enumeration date
02/05/2013
Last updated
10/14/2022
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