Teiangula Boston

Individual provider Active NPI Case Manager/Care Coordinator · Conway, AR

NPI 1891368031 · NPPES record last updated Jul 23, 2021

Key facts

NPI
1891368031
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
132 Lower Ridge Rd
Conway, AR 72032-8518
Phone
(501) 315-3344
NPI assigned
Jul 23, 2021
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

132 Lower Ridge Rd
Conway, AR 72032-8518

Mailing address

PO Box 1589
Benton, AR 72018-1589
Phone (501) 315-3344

Other providers in Conway, AR

All providers in Conway, AR · Case Manager/Care Coordinator in Arkansas

Sources for this page

Verify at the official NPI Registry.