Provider Demographics
NPI:1801414727
Name:KAMPS, TERESA A (MSN, APRN, AGNP-C)
Entity Type:Individual
Prefix:MS
First Name:TERESA
Middle Name:A
Last Name:KAMPS
Suffix:
Gender:F
Credentials:MSN, APRN, AGNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1850 OAK GROVE CHASE DR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32820-2265
Mailing Address - Country:US
Mailing Address - Phone:407-568-2279
Mailing Address - Fax:
Practice Address - Street 1:1850 OAK GROVE CHASE DR
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32820-2265
Practice Address - Country:US
Practice Address - Phone:407-568-2279
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-07
Last Update Date:2020-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11007960363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner