Provider Demographics
NPI:1073556775
Name:YUNUS, TERI L (FNP)
Entity Type:Individual
Prefix:MRS
First Name:TERI
Middle Name:L
Last Name:YUNUS
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:TERI
Other - Middle Name:L
Other - Last Name:SPEAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP
Mailing Address - Street 1:1500 WEISS ST
Mailing Address - Street 2:
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48602-5251
Mailing Address - Country:US
Mailing Address - Phone:989-497-2500
Mailing Address - Fax:989-321-4931
Practice Address - Street 1:1500 WEISS ST
Practice Address - Street 2:
Practice Address - City:SAGINAW
Practice Address - State:MI
Practice Address - Zip Code:48602-5251
Practice Address - Country:US
Practice Address - Phone:989-497-2500
Practice Address - Fax:989-321-4931
Is Sole Proprietor?:No
Enumeration Date:2006-06-13
Last Update Date:2011-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704191814363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
P02220004Medicare PIN
MI0N44340007Medicare ID - Type Unspecified
MIQ41149Medicare UPIN