Smith, Teresa Ann

Smith, Teresa Ann is an individual health care provider with primary practice located at 301 N 23Rd St Ste C , Canyon TX 79015-3058. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Smith, Teresa Ann can be contacted via phone (806) 452-5522.

Contact Information

Primary practice address
301 N 23Rd St Ste C Canyon TX 79015-3058
Phone: (806) 452-5522
Fax: (806) 452-3070
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP128156 Texas
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP128156 Texas

Profile Details

NPI number 1326411679
LBN Legal business name Smith, Teresa Ann
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2015
Last updated Aug 16th, 2019 - about 7 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 1326411679 NPPES
Texas MEDICAID 3626103-01

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