Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | 15537 | TN |
NPI | 1265786008 |
---|---|
Provider Name | Mrs. Meghan Rae Teel |
First Address | Memphis, TN 38111-8207 |
Second Address | Memphis, TN 38103 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/11/2012 |
Last Update Date | 01/11/2012 |