Mclean, Teresa Marie

Mclean, Teresa Marie is an individual health care provider with primary practice located at 4200 Nw 90Th Blvd , Gainesville FL 32606-3809. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Mclean, Teresa Marie can be contacted via phone (352) 378-2121.

Contact Information

Primary practice address
4200 Nw 90Th Blvd Gainesville FL 32606-3809
Phone: (352) 378-2121
Fax: (352) 379-6206
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X ARNP 9357114 Florida

Profile Details

NPI number 1457703183
LBN Legal business name Mclean, Teresa Marie
Credentials ARNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2016
Last updated Oct 19th, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457703183 NPPES
Florida MEDICAID 020177500

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