Individual provider · Type 1 NPI

Emily Lucille Teesdale, A-GNP

Gerontology Nurse Practitioner · Grand Rapids, MI

NPI number 1982126009 Active

Practice location

145 Michigan St NE Ste 3410
Grand Rapids, MI 49503-2563

Mailing address

100 Michigan St NE # MC845
Grand Rapids, MI 49503-2560

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600X4704274128 (MI)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1982126009

Emily Lucille Teesdale, A-GNP's National Provider Identifier is 1982126009, issued on Jul 11, 2017. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Grand Rapids, MI. The record was last updated on Jul 20, 2022.