Healthcare Provider Details

I. General information

NPI: 1114506334
Provider Name (Legal Business Name): CZARINA MARIE TEANO MD, MPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/05/2021
Last Update Date: 06/13/2024
Certification Date: 06/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1215 LEE ST BOX 800133
CHARLOTTESVILLE VA
22908-0001
US

IV. Provider business mailing address

1215 LEE ST BOX 800133
CHARLOTTESVILLE VA
22908-0001
US

V. Phone/Fax

Practice location:
  • Phone: 434-924-1984
  • Fax: 434-244-4502
Mailing address:
  • Phone: 434-924-1984
  • Fax: 434-244-4502

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: