Provider Demographics
NPI:1790830784
Name:TEMPKIN, TERESA LEE (RNC, MSN, ANP)
Entity Type:Individual
Prefix:
First Name:TERESA
Middle Name:LEE
Last Name:TEMPKIN
Suffix:
Gender:F
Credentials:RNC, MSN, ANP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2657 FOLEY CT
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95864-7130
Mailing Address - Country:US
Mailing Address - Phone:916-734-6278
Mailing Address - Fax:916-734-6525
Practice Address - Street 1:4860 Y ST
Practice Address - Street 2:SUITE 3700
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95817-2307
Practice Address - Country:US
Practice Address - Phone:916-734-6278
Practice Address - Fax:916-734-6525
Is Sole Proprietor?:No
Enumeration Date:2007-01-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA289152363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health