Individual
TERESA GARRISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
21 SUSQUEHANNA VALLEY MALL DR, SELINSGROVE, PA 17870
(570) 374-7852
Mailing address
7 DOCK HILL RD, MIDDLEBURG, PA 17842-8910
(570) 837-2123
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN505904L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN505904L
RN LICENSE NO.
PA
Enumeration date
01/30/2007
Last updated
07/08/2007
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