Provider Demographics
NPI:1740203546
Name:WARD, TERESA ANN (CRNP)
Entity Type:Individual
Prefix:
First Name:TERESA
Middle Name:ANN
Last Name:WARD
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:TERESA
Other - Middle Name:R
Other - Last Name:WARD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNP
Mailing Address - Street 1:PO BOX 18428
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35804-8428
Mailing Address - Country:US
Mailing Address - Phone:256-705-4224
Mailing Address - Fax:256-705-4135
Practice Address - Street 1:ONE HOSPITAL DRIVE
Practice Address - Street 2:SUITE 400
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-3495
Practice Address - Country:US
Practice Address - Phone:256-713-1200
Practice Address - Fax:256-713-1209
Is Sole Proprietor?:No
Enumeration Date:2006-07-25
Last Update Date:2009-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1067323363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL528701110Medicaid
AL515-95407OtherBCBS OF ALABAMA
AL51545022OtherBCBS OF ALABAMA
AL51545050OtherBCBS OF ALABAMA
AL510-50070OtherBCBS OF ALABAMA
AL51543017OtherBCBS OF ALABAMA
AL51545052OtherBCBS OF ALABAMA
ALCA0084OtherRR MEDICARE
ALE359Medicare PIN
AL515-95407OtherBCBS OF ALABAMA
AL528701110Medicaid