Provider Demographics
NPI:1649417882
Name:ALLEN, TERESA CALDWELL X (RN)
Entity Type:Individual
Prefix:MRS
First Name:TERESA
Middle Name:CALDWELL
Last Name:ALLEN
Suffix:X
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 EAST GREEN DRIVE
Mailing Address - Street 2:GUILFORD COUNTY DEPARTMENT OF PUBLIC HEALTH
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27260
Mailing Address - Country:US
Mailing Address - Phone:336-845-7699
Mailing Address - Fax:336-845-3210
Practice Address - Street 1:501 E GREEN DR
Practice Address - Street 2:
Practice Address - City:HIGH POINT
Practice Address - State:NC
Practice Address - Zip Code:27260-6707
Practice Address - Country:US
Practice Address - Phone:336-845-7699
Practice Address - Fax:336-845-3210
Is Sole Proprietor?:No
Enumeration Date:2009-01-09
Last Update Date:2009-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC049640163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse