Provider Demographics
NPI:1891427530
Name:TEAGUE, ANNA BERNICE (BSN, RN, SRNA)
Entity Type:Individual
Prefix:MRS
First Name:ANNA
Middle Name:BERNICE
Last Name:TEAGUE
Suffix:
Gender:F
Credentials:BSN, RN, SRNA
Other - Prefix:MISS
Other - First Name:ANNA
Other - Middle Name:BERNICE
Other - Last Name:CLUXTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 344
Mailing Address - Street 2:
Mailing Address - City:NEW VIENNA
Mailing Address - State:OH
Mailing Address - Zip Code:45159-0344
Mailing Address - Country:US
Mailing Address - Phone:937-218-2414
Mailing Address - Fax:
Practice Address - Street 1:234 GOODMAN ST
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45219-2364
Practice Address - Country:US
Practice Address - Phone:513-584-1000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-30
Last Update Date:2022-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program