Provider Demographics
NPI:1598037053
Name:NAVA-ANDERSON, TERESA MARIE (PHD, CD(DONA))
Entity Type:Individual
Prefix:DR
First Name:TERESA
Middle Name:MARIE
Last Name:NAVA-ANDERSON
Suffix:
Gender:F
Credentials:PHD, CD(DONA)
Other - Prefix:
Other - First Name:TERI
Other - Middle Name:
Other - Last Name:NAVA-ANDERSON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:700 W LA CANADA AVE
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN HOUSE
Mailing Address - State:CA
Mailing Address - Zip Code:95391-1155
Mailing Address - Country:US
Mailing Address - Phone:209-833-7629
Mailing Address - Fax:
Practice Address - Street 1:700 W LA CANADA AVE
Practice Address - Street 2:
Practice Address - City:MOUNTAIN HOUSE
Practice Address - State:CA
Practice Address - Zip Code:95391-1155
Practice Address - Country:US
Practice Address - Phone:209-833-7629
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-30
Last Update Date:2012-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula