Provider Demographics
NPI:1053303941
Name:NESBIT, TERESA (ARNP, CNM)
Entity Type:Individual
Prefix:
First Name:TERESA
Middle Name:
Last Name:NESBIT
Suffix:
Gender:F
Credentials:ARNP, CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:812 BRIGHTWATER CIR
Mailing Address - Street 2:
Mailing Address - City:MAITLAND
Mailing Address - State:FL
Mailing Address - Zip Code:32751-4215
Mailing Address - Country:US
Mailing Address - Phone:407-645-2999
Mailing Address - Fax:
Practice Address - Street 1:531 N MAITLAND AVE
Practice Address - Street 2:
Practice Address - City:MAITLAND
Practice Address - State:FL
Practice Address - Zip Code:32751-4421
Practice Address - Country:US
Practice Address - Phone:321-397-1212
Practice Address - Fax:321-397-1213
Is Sole Proprietor?:No
Enumeration Date:2005-08-17
Last Update Date:2023-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP 1483992363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology