Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LA2100X | Nurse Practitioner - Acute Care | APRN.CNP.024572 | OH |
Y | 363LC0200X | Nurse Practitioner - Critical Care Medicine | APRN.CNP.024572 | OH |
NPI | 1285290387 |
---|---|
Provider Name | Teresa Stygles |
First Address | Toledo, OH 43611-1653 |
Second Address | Elyria, OH 44035-5902 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/05/2019 |
Last Update Date | 11/12/2019 |