Provider Demographics
NPI:1376913491
Name:MCGUINNESS, TERESA (FNP-C)
Entity Type:Individual
Prefix:
First Name:TERESA
Middle Name:
Last Name:MCGUINNESS
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:TERESA
Other - Middle Name:
Other - Last Name:TUOMEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1804 ALLISON ST
Mailing Address - Street 2:
Mailing Address - City:GRAHAM
Mailing Address - State:TX
Mailing Address - Zip Code:76450-4854
Mailing Address - Country:US
Mailing Address - Phone:325-201-1352
Mailing Address - Fax:
Practice Address - Street 1:1339 EAST ST
Practice Address - Street 2:
Practice Address - City:GRAHAM
Practice Address - State:TX
Practice Address - Zip Code:76450-4228
Practice Address - Country:US
Practice Address - Phone:940-521-5500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-10-01
Last Update Date:2015-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP129203363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily