Teesdale, Emily Lucille

Teesdale, Emily Lucille is an individual health care provider with primary practice located at 145 Michigan St Ne Ste 3410 , Grand Rapids MI 49503-2563. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Teesdale, Emily Lucille can be contacted via phone (616) 391-9945.

Contact Information

Primary practice address
145 Michigan St Ne Ste 3410 Grand Rapids MI 49503-2563
Phone: (616) 391-9945
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 4704274128 Michigan

Profile Details

NPI number 1982126009
LBN Legal business name Teesdale, Emily Lucille
Credentials A-GNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2017
Last updated Jul 20th, 2022 - about 4 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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