Individual
ALVA M TEETS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNP
Contact information
Practice address
2532 E MAIN ST, COLUMBUS, OH 43209-2443
(614) 235-3024
Mailing address
2532 E MAIN ST, COLUMBUS, OH 43209-2443
(614) 235-3024
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN312231
OH
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.11575
OH
Other
Enumeration date
07/07/2010
Last updated
07/21/2022
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