Healthcare Provider Details

I. General information

NPI: 1083538631
Provider Name (Legal Business Name): CHRISELDA TEASDALE RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/06/2026
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1852 SINCLAIR AVE
STEUBENVILLE OH
43953-3328
US

IV. Provider business mailing address

57663 S ELEANOR ST
BRIDGEPORT OH
43912-1058
US

V. Phone/Fax

Practice location:
  • Phone: 740-314-8671
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License NumberRN.560897
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: