Yates, Teresa Susan

Yates, Teresa Susan is an individual health care provider with primary practice located at 618 S Main St , Reidsville NC 27320-5020. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Nursing Service Providers / Registered Nurse is her primary health care specialty. Yates, Teresa Susan can be contacted via phone (336) 951-4000.

Contact Information

Primary practice address
618 S Main St Reidsville NC 27320-5020
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 095134 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 041124 North Carolina

Profile Details

NPI number 1225101389
LBN Legal business name Yates, Teresa Susan
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2006
Last updated Jul 9th, 2007 - about 17 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 1225101389 NPPES
North Carolina MEDICAID 8050366

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