Provider Demographics
NPI:1558834226
Name:TRIANTAFILU, TERESA GAIL (FNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:TERESA
Middle Name:GAIL
Last Name:TRIANTAFILU
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13000 MIDDLETON CIR APT 13201
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37064-1824
Mailing Address - Country:US
Mailing Address - Phone:615-916-0135
Mailing Address - Fax:
Practice Address - Street 1:125 COOL SPRINGS BLVD STE 100
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067-6475
Practice Address - Country:US
Practice Address - Phone:615-771-8552
Practice Address - Fax:615-771-8520
Is Sole Proprietor?:No
Enumeration Date:2019-01-06
Last Update Date:2019-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2018068304363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily