Individual provider · Type 1 NPI
Carol Irene Teneyck, NP
Medical-Surgical Clinical Nurse Specialist · Grand Rapids, MI
NPI number
1255461687
Active
Practice location
230 Michigan St NE, Suite 230
Grand Rapids, MI 49503-2550
Fax (616) 391-8665
Mailing address
100 Michigan St NE, Mc 845
Grand Rapids, MI 49503-2560
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 4704119230 (MI) |
| Nurse Practitioner | 363L00000X | 4704119230 (MI) |
| Medical-Surgical Clinical Nurse Specialist Primary | 364SM0705X | 4704119230 (MI) |
Medical-Surgical Clinical Nurse Specialist: Definition to come...
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About NPI 1255461687
Carol Irene Teneyck, NP's National Provider Identifier is 1255461687, issued on Mar 6, 2007. The primary taxonomy on file is Medical-Surgical Clinical Nurse Specialist (364SM0705X), and the practice location is in Grand Rapids, MI. The record was last updated on Oct 29, 2013.