Individual provider · Type 1 NPI

Teresa Ryan Andersen, BS

Student in an Organized Health Care Education/Training Program · Detroit, MI

NPI number 1073090460 Active

Practice location

40 E Ferry St
Detroit, MI 48202-3802

Mailing address

615 Gardendale St
Ferndale, MI 48220-2487

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1073090460

Teresa Ryan Andersen, BS's National Provider Identifier is 1073090460, issued on Jul 27, 2018. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Detroit, MI. The record was last updated on Jul 27, 2018.