Teresa Belohlavy
Individual provider Active NPI Registered Nurse · Cadillac, MI
NPI 1639701162 · NPPES record last updated Feb 12, 2020
Key facts
- NPI
- 1639701162
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 4704240149 (MI)
- Practice address
- 4089 E 28 Rd
Cadillac, MI 49601-9136 - Phone
- (231) 690-1591
- NPI assigned
- Feb 12, 2020
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704240149 | MI | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 4704240149 | MI | Yes |
Addresses
Primary practice location
4089 E 28 Rd
Cadillac, MI 49601-9136
Mailing address
4089 E 28 Rd
Cadillac, MI 49601-9136
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Cadillac | ||
| CONNECT URL | Cadillac | ||
| CONNECT URL | Cadillac |
Other providers in Cadillac, MI
- Jaimie N Beard-Dawda
- Jean Margaret-Mills Beatty
- Martin Dale Beatty
- Micah Jean Beckman
- Rodney Wayne Bellows
- Nathan John Belville
- Emily Bender
- Cheryl Ann Bennett
- Amey M Benson
- James E Benson
All providers in Cadillac, MI · Registered Nurse in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 12, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.