Provider Demographics
NPI:1366498925
Name:HOPKINS, TERESA ANN (CRNA)
Entity Type:Individual
Prefix:
First Name:TERESA
Middle Name:ANN
Last Name:HOPKINS
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3298 COQUINA KEY DR SE
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33705-4147
Mailing Address - Country:US
Mailing Address - Phone:727-821-2871
Mailing Address - Fax:727-828-0723
Practice Address - Street 1:163 VAN BUREN RD STE 1
Practice Address - Street 2:
Practice Address - City:CARIBOU
Practice Address - State:ME
Practice Address - Zip Code:04736-3588
Practice Address - Country:US
Practice Address - Phone:207-498-1124
Practice Address - Fax:727-821-2871
Is Sole Proprietor?:No
Enumeration Date:2006-05-25
Last Update Date:2023-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9172191367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL303596400Medicaid
FLG2915OtherBCBS OF FL
FL303596400Medicaid
FLG2915OtherBCBS OF FL