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NPI Code Detail

MEDICARE: TERESA FREELAND

MEDICARE: TERESA FREELAND
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
1164W00000XLicensed Practical NursePN123992OH

General Provider Information

NPI Number : 1912332685
Entity Type Code : Individual
Provider Name (Legal Business Name) : TERESA FREELAND
Provider Business Mailing Address
First Line : 100 CROWNE POINT PL
Second Line :
City : CINCINNATI
State : OH
Zip : 45241-5427
Country : US
Telephone Number : 513-743-7628
Fax Number :
Provider Business Practice Location Address
First Line : 36 N DETROIT ST
Second Line :
City : XENIA
State : OH
Zip : 45385-2909
Country : US
Telephone Number : 937-610-4673
Fax Number : 837-736-2615
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/12/2013
Last Update Date : 10/30/2023

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Directions to “ TERESA FREELAND ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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