Teri E Deane, CREDENTIALED SN
Individual provider Active NPI School Registered Nurse · Benicia, CA
NPI 1700370285 · NPPES record last updated Jun 19, 2018
Key facts
- NPI
- 1700370285
- Entity type
- Individual (NPI type 1)
- Primary specialty
- School Registered Nurse 163WS0200X
- License
- 456131 (CA)
- Practice address
- 350 E K St
Benicia, CA 94510-3437 - Phone
- (707) 748-2624
- Fax
- (707) 746-6152
- NPI assigned
- Jun 19, 2018
- 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 |
|---|---|---|---|
| 456131 | CA | MD | School Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Registered Nurse | 163WS0200X | 456131 | CA | Yes |
Addresses
Primary practice location
350 E K St
Benicia, CA 94510-3437
Mailing address
350 E K St Ste 7
Benicia, CA 94510-3437
Phone (707) 748-2624
Other providers in Benicia, CA
- Deanna Damasen
- Daniel S & Ruth D Kalb
- Rosalind Margaret Daniel
- Daudel Professional Medical Corporation
- Heather Soto De Oliveira
- Zoe Katriel Lawas Del Rosario
- Delta Bay Surgery Center LLC
- Jill Depass
- Michelle Dilello
- Diane Stavropoulos Dimond
All providers in Benicia, CA · School Registered Nurse in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 19, 2018. 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.