Individual
MS. TERESA MICHELLE POOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
9040A JACKSON AVE MADIGAN ARMY MEDICAL CENTER JBLM, TACOMA, WA 98431-6307
(253) 968-3066
Mailing address
7904 SCHOOLHOUSE AVE NW, GIG HARBOR, WA 98335-8359
(813) 629-2017
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
ARNP9162930
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
013828700
—
FL
Enumeration date
05/22/2009
Last updated
05/05/2019
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