Individual
TEIAH HADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1101 N ROCK RD, DERBY, KS 67037-3705
(316) 788-6963
(316) 788-5373
Mailing address
1101 N ROCK RD, DERBY, KS 67037-3705
(316) 788-6963
(316) 788-5373
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
53-77488-102
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
IN PROGRESS
—
KS
Enumeration date
02/22/2017
Last updated
02/22/2017
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