Provider Demographics
NPI:1134326184
Name:TEEL, HEATHER (RN)
Entity Type:Individual
Prefix:MS
First Name:HEATHER
Middle Name:
Last Name:TEEL
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3317 N STEWART AVE
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85716-1221
Mailing Address - Country:US
Mailing Address - Phone:520-327-2167
Mailing Address - Fax:
Practice Address - Street 1:102 N PLUMER
Practice Address - Street 2:STARR CTR TUSD
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85719
Practice Address - Country:US
Practice Address - Phone:520-225-3293
Practice Address - Fax:520-225-3201
Is Sole Proprietor?:No
Enumeration Date:2007-07-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN028946163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse