| NPI | 1295382554 |
|---|---|
| Professional Name | CAROL MULLIGAN TEETS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP020717) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: PA SP020717) |
| Enumeration Date | 2019-08-21 |
| Last Update Date | 2020-08-30 |