Individual
TERESA A RENFROW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1425 STATE ST STE 100, NEW ALBANY, IN 47150-4976
(812) 945-2229
(812) 949-2229
Mailing address
1425 STATE ST STE 100, NEW ALBANY, IN 47150-4976
(812) 945-2229
(812) 949-2229
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
47805
KY
363LP0200X
Pediatric Nurse Practitioner
Primary
71003203A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201283520
—
IN
01
—
IN1189116
IN MEDICARE
IN
Enumeration date
07/22/2009
Last updated
08/09/2017
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