Provider Demographics
NPI:1437411444
Name:DUNN, TERESA MARIE (ANP-BC)
Entity Type:Individual
Prefix:
First Name:TERESA
Middle Name:MARIE
Last Name:DUNN
Suffix:
Gender:F
Credentials:ANP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 CITYPLACE DR
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63141-7067
Mailing Address - Country:US
Mailing Address - Phone:314-514-6000
Mailing Address - Fax:
Practice Address - Street 1:1 CITYPLACE DR
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63141-7067
Practice Address - Country:US
Practice Address - Phone:314-514-6000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-14
Last Update Date:2015-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2012007365363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner