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Individual

MRS. TERESA LYNN ANDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN/CNM

Contact information

Practice address
472 CHALAN SAN ANTONIO PEMAR PLACE, C/O: MARIANAS PHYSICIAN GROUP, TAMUNING, GU 96913
(671) 647-1830
Mailing address
472 CHALAN SAN ANTONIO PEMAR PLACE, C/O: MARIANAS PHYSICIAN GROUP, TAMUNING, GU 96913
(671) 647-1830
(647) 647-1919

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RE-1861
GU
367A00000X
Advanced Practice Midwife
Primary
NP-0124
GU

Other

Enumeration date
03/10/2014
Last updated
03/10/2014
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