Provider Demographics
NPI:1629289814
Name:SADIQ, TERESA ELAINE (FNP)
Entity Type:Individual
Prefix:MRS
First Name:TERESA
Middle Name:ELAINE
Last Name:SADIQ
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6001 GOLD MINE LOOP
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27516-7426
Mailing Address - Country:US
Mailing Address - Phone:919-270-5696
Mailing Address - Fax:
Practice Address - Street 1:UNC SURGICAL ONCOLOGY
Practice Address - Street 2:3010 OLD CLINIC BLDG CB# 7213
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27599-7213
Practice Address - Country:US
Practice Address - Phone:919-966-5221
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-27
Last Update Date:2007-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA242675363LF0000X
NC363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily