MEDICARE: TERESA APPEL

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
1	183500000X	Pharmacist	PH60660005	WA

General Provider Information

NPI Number	:	1912455668
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TERESA APPEL

Provider Business Mailing Address
First Line	:	3023 78TH AVE SE
Second Line	:
City	:	MERCER ISLAND
State	:	WA
Zip	:	98040-2822
Country	:	US
Telephone Number	:	206-236-0776
Fax Number	:

Provider Business Practice Location Address
First Line	:	3023 78TH AVE SE
Second Line	:
City	:	MERCER ISLAND
State	:	WA
Zip	:	98040-2822
Country	:	US
Telephone Number	:	206-236-0776
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/12/2016
Last Update Date	:	09/12/2016

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Directions to “ TERESA APPEL ” Practice Location

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