Healthcare Provider Details

I. General information

NPI: 1942680129
Provider Name (Legal Business Name): TERESA LOUISE SPRINGER A.R.N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/03/2015
Last Update Date: 06/03/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3250 SW 41ST PL
GAINESVILLE FL
32608-2621
US

IV. Provider business mailing address

3250 SW 41ST PL
GAINESVILLE FL
32608-2621
US

V. Phone/Fax

Practice location:
  • Phone: 352-378-1558
  • Fax: 352-378-2242
Mailing address:
  • Phone: 352-378-1558
  • Fax: 352-378-2242

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberARNP2511452
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: