Teresa Lynn Anderson, RN/CNM
Individual provider Active NPI Advanced Practice Midwife · Tamuning, GU
NPI 1982020392 · NPPES record last updated Mar 10, 2014
Key facts
- NPI
- 1982020392
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Advanced Practice Midwife 367A00000X
- License
- NP-0124 (GU)
- Practice address
- 472 Chalan San Antonio Pemar Place
C/O: Marianas Physician Group
Tamuning, GU 96913 - Phone
- (671) 647-1830
- NPI assigned
- Mar 10, 2014
- 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)
- Yes
- Credentials
- Certified Nurse Midwife, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RE-1861 | GU | MD | Registered Nurse |
| NP-0124 | GU | MD | Advanced Practice Midwife |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RE-1861 | GU | |
| Advanced Practice Midwife | 367A00000X | NP-0124 | GU | Yes |
Addresses
Primary practice location
472 Chalan San Antonio Pemar Place
C/O: Marianas Physician Group
Tamuning, GU 96913
Mailing address
472 Chalan San Antonio Pemar Place
C/O: Marianas Physician Group
Tamuning, GU 96913
Phone (671) 647-1830
Other providers in Tamuning, GU
- Erika Masuda Alford
- Samir Shankar Ambrale
- American Dialysis Center, Inc.
- American Multi-Specialty Group, Inc.
- Christina Joy Anciano
- Ernest Gredonia Aquino
- Megan Julyne Dejesa Aquino
- Ruben Pasion Arafiles
- Luis Golez Arguelles
- Lynnette Arriola
All providers in Tamuning, GU · Advanced Practice Midwife in Guam
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 10, 2014. 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.