Mahan-Etheridge, Teresa K

Mahan-Etheridge, Teresa K is an individual health care provider with primary practice located at 2 Tampa General Cir , Tampa FL 33606-3603. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Mahan-Etheridge, Teresa K can be contacted via phone (813) 259-8700.

Contact Information

Primary practice address
2 Tampa General Cir Tampa FL 33606-3603
Phone: (813) 259-8700
Fax: (813) 259-8862
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X ARNP9208090 Florida
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X ARNP9208090 Florida
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X APRN9208090 Florida

Profile Details

NPI number 1699070433
LBN Legal business name Mahan-Etheridge, Teresa K
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2011
Last updated Oct 22nd, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699070433 NPPES
Florida MEDICAID 003148500
Florida Other Y06M3

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