Teague, Malinda

Teague, Malinda is an individual health care provider with primary practice located at 2406 Blue Ridge Rd Ste 100 , Raleigh NC 27607. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Teague, Malinda can be contacted via phone (919) 786-5001.

Contact Information

Primary practice address
2406 Blue Ridge Rd Ste 100 Raleigh NC 27607
Phone: (919) 786-5001
Fax: (919) 786-5051
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 250343 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 209-004496 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 5010373 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 286171 North Carolina

Profile Details

NPI number 1568654903
LBN Legal business name Teague, Malinda
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2007
Last updated Mar 16th, 2021 - about 5 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 1568654903 NPPES
North Carolina MEDICAID 1568654903

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