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NPI Code Detail

MEDICARE: TERESA HUTSELL PMHNP

MEDICARE:   TERESA  HUTSELL  PMHNP
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
1163WP0808XPsychiatric/Mental Health Registered NurseRN00114514WA
2363LP0808XPsychiatric/Mental Health Nurse PractitionerAP60550826WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1710927348
Entity Type Code : Individual
Provider Name (Legal Business Name) : TERESA HUTSELL PMHNP
Provider Business Mailing Address
First Line : 660 S COOLIDGE ST
Second Line :
City : MOSES LAKE
State : WA
Zip : 98837-1872
Country : US
Telephone Number : 509-793-9715
Fax Number : 509-764-3244
Provider Business Practice Location Address
First Line : 1550 S PIONEER WAY
Second Line :
City : MOSES LAKE
State : WA
Zip : 98837-4613
Country : US
Telephone Number : 509-793-9780
Fax Number : 509-764-3246
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2006
Last Update Date : 01/11/2022

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Directions to “ TERESA HUTSELL PMHNP” Practice Location

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