TERESA MASTERSON APN NPI 1033417811

NPI Information

NPI: 1033417811
Provider Name: TERESA MASTERSON, APN
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
23 W CALENDAR AVE
LA GRANGE, IL
ZIP 60525
Phone: (708) 352-0081
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Teresa Masterson, APN is a family nurse practitioner in La Grange, IL. Teresa Masterson, APN NPI is 1033417811. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

23 W CALENDAR AVE
LA GRANGE, IL
ZIP 60525-365
Phone: (708) 352-0081

The enumeration date for this NPI number is 3/3/2011 and was last updated on 9/25/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	209001063	ILLINOIS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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