MEDICARE: MRS. TERESA VANHOOSE MSN, APRN, FNP-BC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	025339	OH

General Provider Information

NPI Number	:	1568012300
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. TERESA VANHOOSE MSN, APRN, FNP-BC

Provider Business Mailing Address
First Line	:	235 W NATIONAL RD
Second Line	:
City	:	VANDALIA
State	:	OH
Zip	:	45377-1969
Country	:	US
Telephone Number	:	937-531-0113
Fax Number	:	937-531-0123

Provider Business Practice Location Address
First Line	:	235 W NATIONAL RD
Second Line	:
City	:	VANDALIA
State	:	OH
Zip	:	45377-1969
Country	:	US
Telephone Number	:	937-531-0113
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/13/2019
Last Update Date	:	04/06/2026

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Directions to “ MRS. TERESA VANHOOSE MSN, APRN, FNP-BC” Practice Location

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