Provider Demographics
NPI:1689183931
Name:STRATTON, TERESA GAIL
Entity Type:Individual
Prefix:
First Name:TERESA
Middle Name:GAIL
Last Name:STRATTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11324 ARTHUR DR
Mailing Address - Street 2:
Mailing Address - City:GULFPORT
Mailing Address - State:MS
Mailing Address - Zip Code:39503-4797
Mailing Address - Country:US
Mailing Address - Phone:228-870-0068
Mailing Address - Fax:
Practice Address - Street 1:11324 ARTHUR DR
Practice Address - Street 2:
Practice Address - City:GULFPORT
Practice Address - State:MS
Practice Address - Zip Code:39503-4797
Practice Address - Country:US
Practice Address - Phone:228-870-0068
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-29
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula