Willie, Teresa
Willie, Teresa is an individual health care provider with primary practice located at Corner Of Route N12 And N7 , Fort Defiance AZ 86504-0649. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Willie, Teresa can be contacted via phone (928) 729-8000.Contact Information
Primary practice address
Corner Of Route N12 And N7
Fort Defiance AZ 86504-0649
Phone: (928) 729-8000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X | CNM179 | North Carolina |
Profile Details
| NPI number | 1417008541 |
|---|---|
| LBN Legal business name | Willie, Teresa |
| Credentials | Certified Nurse Midwife (CNM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 16th, 2007 |
| Last updated | Sep 22nd, 2011 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417008541 | NPPES |
| North Carolina | Other | CNM179 | LICENSE |
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