Provider Demographics
NPI:1124023122
Name:LIMBERG, TERESA FERGUSON (WHNP)
Entity Type:Individual
Prefix:
First Name:TERESA
Middle Name:FERGUSON
Last Name:LIMBERG
Suffix:
Gender:F
Credentials:WHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1650 ELM ST STE 320
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03101-1217
Mailing Address - Country:US
Mailing Address - Phone:603-782-3460
Mailing Address - Fax:603-232-6629
Practice Address - Street 1:1650 ELM ST STE 320
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03101-1217
Practice Address - Country:US
Practice Address - Phone:603-782-3460
Practice Address - Fax:603-232-6629
Is Sole Proprietor?:No
Enumeration Date:2005-06-16
Last Update Date:2020-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX533226363LW0102X
NH081278-23363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0414591-01Medicaid
TX82N284Medicare ID - Type Unspecified
TX0414591-01Medicaid